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Does primary posterior tracheopexy prevent collapse of the trachea in newborns with oesophageal atresia and tracheomalacia? A study protocol for an international, multicentre randomised controlled trial (PORTRAIT trial).
BMJ Open
December 2024
Congenital Oesophageal and Airway Team Utrecht, Departments of Paediatric Surgery and Otorhinolaryngology and Head and Neck Surgery, Wilhelmina Children's Hospital University Medical Center, Utrecht, The Netherlands.
Introduction: Tracheomalacia (TM) often occurs in children with oesophageal atresia (OA), leading to recurrent respiratory symptoms and in severe cases to blue spells or ultimately respiratory arrest. In some patients, a secondary posterior tracheopexy may then be indicated. This secondary surgery, as well as respiratory morbidity, may be prevented by performing a primary posterior tracheopexy (PPT) concurrent with primary OA correction.
View Article and Find Full Text PDFEvaluation of the relevance of interhospital transfer medicalization in the suspicion of foreign body aspiration in children.
Arch Pediatr
November 2022
Pediatric Transportation Team, SAMU, La Timone Hospital, Aix-Marseille University, 264 rue Saint Pierre, Marseille 13385, France; Departement of Pediatric Anesthesia and Intensive Care Unit, La Timone Children's Hospital, Aix-Marseille University, 264 rue Saint Pierre, Marseille 133855, France.
Introduction: Foreign body aspiration in preschool children is a common and potentially fatal event. Diagnostic confirmation requires tracheobronchoscopy. The current medical care in West Provence Alpes Cote d'Azur (PACA) is based on an inter-hospital transfer via the emergency medical services (EMS) to the pediatric ear-nose-throat (ENT) reference center in Marseille as quickly as possible.
View Article and Find Full Text PDF[Current Treatment of Esophageal Atresia with Tracheoesophageal Fistula - Updated Guidelines of the German Society of Pediatric Surgery].
Klin Padiatr
July 2020
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig.
Esophageal atresia (EA) is a congenital anomaly that entails an interrupted esophagus with or without tracheoesophageal fistula (TEF). Depending on the distance of the two esophageal pouches a "short-gap" is distinguished from a "long-gap" variant. Up to 50% of newborns have additional anomalies.
View Article and Find Full Text PDFThoracoscopic posterior tracheopexy during primary esophageal atresia repair: a new approach to prevent tracheomalacia complications.
J Pediatr Surg
July 2018
Department of Paediatric Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, P.O. Box 85090, 3508 AB Utrecht, The Netherlands.
Background: Esophageal atresia (EA) is usually accompanied by some form of tracheomalacia (TM). During the early phases in life, excessive dynamic collapse of the trachea can cause a wide spectrum of symptoms ranging from mild complaints to apparent life-threatening events (ALTE's) or brief resolved unexplained events (BRUE's). Therapeutic strategies for severe TM include aortopexy to lift the anterior weakened cartilaginous rings or posterior tracheopexy of the floppy membranous tracheal intrusion.
View Article and Find Full Text PDFFeasibility and safety of dilatational tracheotomy using the rigid endoscope: a multicenter study.
BMC Anesthesiol
January 2017
Department of Otorhinolaryngology, Head and Neck Surgery, Plastic Surgery, Dresden Friedrichstadt Hospital, Dresden University Teaching Hospital, Dresden, Germany.
Background: Fiberoptic tracheo-bronchoscopy is the most commonly used procedure for percutaneous dilational tracheotomy (PDT). However, PDT can be associated with major complications, including death. Furthermore it is unclear, whether the tracheal ring fractures may contribute to the development of tracheal stenosis after PDT nor whether tracheal ring fractures can be prevented by using a rigid endoscope for this procedure.
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