Nursing Management of Acute Airway Hyperresponsiveness and Stenosis in a Pediatric Patient Undergoing Adjustable Spinal Device Surgery: A Case Report.
Ruocui Zhang, Minling Ding, Qing Wang et al.
✦ AI-curated · Sources linked
Case in brief
A 6-year-old girl developed acute airway hyperresponsiveness and severe extrinsic tracheal stenosis after spinal rod adjustments during surgery. A multidisciplinary nursing management strategy was implemented, including deep sedation, bronchodilators, and early imaging. These interventions stabilized her airway, maintained oxygen saturation, and prevented complications such as ventilator-associated pneumonia. She was discharged on day 9 after resolution of her symptoms.
What made this case unusual
This case is notable for the simultaneous occurrence of acute airway hyperresponsiveness and severe tracheal stenosis following spinal surgery, highlighting a complex perioperative challenge.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for airway complications in pediatric patients undergoing spinal surgery, particularly after device adjustments.
Why it matters
This case emphasizes the importance of proactive airway surveillance and the effectiveness of integrated nursing protocols in managing complex perioperative issues in high-risk pediatric patients.