Open Airway Surgery in a Paraplegic: The Importance of an Adequate Cough

The Annals of Otology, Rhinology, and Laryngology
Shaunak N AminAlexander Gelbard

Abstract

To describe a case of open airway surgery with postoperative respiratory complications in a paraplegic woman and to review the unique respiratory physiology seen in patients with a history of cervical or thoracic spinal cord injury (SCI). Case report and literature review. We describe the case of a 25-year-old paraplegic who developed tracheal stenosis after tracheotomy, eventually requiring tracheal resection and re-anastomosis. Her postoperative course was complicated by mucus plugging and severe atelectasis, necessitating reintubation. After extubation, the patient reported difficulty expectorating secretions ever since her SCI, requiring manual abdominal pressure from her family members to assist her when she needed to cough. This first report of cricotracheal resection in a patient with paraplegia following SCI highlights the importance of an adequate cough and demonstrates the unique respiratory management necessary for patients with SCI.

References

Jul 1, 1997·American Journal of Physical Medicine & Rehabilitation·E J RothS Powley
Nov 9, 2005·Critical Care Medicine·Bradley D FreemanTimothy G Buchman
Mar 18, 2006·American Journal of Respiratory and Critical Care Medicine·Anthony F DiMarcoDana R Hromyak
Aug 6, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Javier RomeroAntonio Oliviero
Nov 11, 2010·The Journal of Spinal Cord Medicine·W Darlene ReidBrodie M Sakakibara
May 3, 2011·The Journal of Spinal Cord Medicine·Javier Romero GanuzaAlejandro A Luciani
Nov 12, 2015·International Journal of Critical Illness and Injury Science·Anthony CiprianoDavid C Evans
Mar 9, 2017·Breathe·David J BerlowitzJack Ross

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Citations

Sep 15, 2021·The Thoracic and Cardiovascular Surgeon·Lei HengShanshan Zhu

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