Mounier-Kuhn Syndrome : Anesthetic Experience
Joint Authors
Ushakumari, Deepu Sasikumaran
Grewal, Navneet
Green, Michael S.
Source
Case Reports in Anesthesiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-03
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Mounier Kuhn syndrome, or congenital tracheobronchomegaly, is an under diagnosed clinical entity with peculiar anatomical and physiological features making anesthetic care challenging.
A 58-year-old chronic smoker with history of recurrent pneumonia and bronchiectasis presented for septoplasty.
Thoracic imaging revealed a dilated trachea and main bronchi, tracheal and bronchial diverticuli, and chronic bronchiectasis with mediastinal lymphadenopathy.
An 8.5 cuffed endotracheal tube (ETT) proved too big for his glottic aperture.
An 8.0 cuffed ETT with wet gauze packing yielding an adequate seal.
Postoperative continuous positive airway pressure to prevent airway collapse followed awake extubation.
Anesthetic concerns include grossly enlarged and weakened airways, inefficient cough mechanisms, presence of tracheal diverticuli, and post operative tracheal collapse.
Anesthetic planning includes management of endotracheal cuff size.
Small size yields air leak and ineffective ventilation.
Large size may lead to mucosal damage.
Tube dislodgement, copious secretions, chance of expiratory collapse due to the abnormally dilated and thin airways, and post operative monitoring all must be considered.
American Psychological Association (APA)
Ushakumari, Deepu Sasikumaran& Grewal, Navneet& Green, Michael S.. 2012. Mounier-Kuhn Syndrome : Anesthetic Experience. Case Reports in Anesthesiology،Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-489543
Modern Language Association (MLA)
Ushakumari, Deepu Sasikumaran…[et al.]. Mounier-Kuhn Syndrome : Anesthetic Experience. Case Reports in Anesthesiology No. 2012 (2012), pp.1-2.
https://search.emarefa.net/detail/BIM-489543
American Medical Association (AMA)
Ushakumari, Deepu Sasikumaran& Grewal, Navneet& Green, Michael S.. Mounier-Kuhn Syndrome : Anesthetic Experience. Case Reports in Anesthesiology. 2012. Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-489543
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489543