Tracheobronchomalacia causing end expiratory grunt post-intubation.

ABSTRACT: Tracheobronchomalacia is a rare, often asymptomatic, progressive disease characterised by a complete or near-complete collapse of the airway during expiration. Only a few cases have been reported as being diagnosed intra-operatively. Here, we report a case of tracheobronchomalacia diagnosed under general anaesthesia in a 52-year-old man undergoing elective excision of basal and squamous cell carcinomas of the scalp, face and arm. A persistent, loud, end expiratory grunt was noted immediately after inflation of the tracheal tube cuff. Oxygenation, ventilation and capnography remained within normal ranges. Flexible bronchoscopy revealed a patent tracheal tube with complete distal collapse of the trachea on expiration to the level of the carina. Increased positive end expiratory pressure was

SUBMITTER: Bhagvandas J 

PROVIDER: S-EPMC9205753 | biostudies-literature | 2022 Jan-Jun

REPOSITORIES: biostudies-literature