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Unexpected and severe postintubation croup after a very short day surgery in a pediatric patient -a case report-

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Author(s)
Hyun Jee KimJe Do SonKyung-Hwa Kwak
Keimyung Author(s)
Kim, Hyun Jee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2014
Volume
67
Issue
4
Keyword
Ambulatory surgical proceduresCroup
Abstract
An 18 month-old boy underwent endoscopic foreign body removal under anesthesia on an outpatient basis and the operation took approximately 5 minutes. Stridor developed in both lung fields 6 hours after emergence from anesthesia, and severe croup developed, with cyanosis of the lips and aggravated stridor 20 hours after the end of the procedure. The croup resolved with oxygen therapy, intravenous dexamethasone, and epinephrine nebulization therapy. In this report, we suggest that thorough investigations of the patient’s past history, including history of any airway problems, and careful monitoring after emergence from anesthesia be done in order to decide the proper discharge time of the patient. Further, proper prophylaxis following risk stratification is important, especially in patients at high risk of postoperative airway obstruction.
Keimyung Author(s)(Kor)
김현지
Publisher
School of Medicine
Citation
Hyun Jee Kim et al. (2014). Unexpected and severe postintubation croup after a very short day surgery in a pediatric patient -a case report-. Korean Journal of Anesthesiology, 67(4), 287–289. doi: 10.4097/kjae.2014.67.4.287
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2014.67.4.287
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36132
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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