ReviewBMC anesthesiology2025
Esketamine combined with ultrasound-guided superficial cervical plexus block to complete pediatric subglottic stenosis tracheotomy-a case report and literature review.
Review in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Resection of tracheal tumours and tracheal reconstruction under spontaneous breathing anaesthesia with a simple and practical intraoperative ventilation technique: a case report.Journal of cardiothoracic surgery · 2026Article
- Anesthetic Management of Tracheal Resection and Anastomosis for Postintubation Tracheal Stenosis Involving a Sequential Airway Strategy.Case reports in anesthesiology · 2026Article
- Transnasopharyngeal positive pressure ventilation during balloon dilation of severe subglottic stenosis in a low-weight infant: a case report.BMC anesthesiology · 2025Article
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Authors and funding
3 authors.
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Abstract
backgroundCongenital subglottic stenosis is a condition that results in airway narrowing in pediatric patients, presenting significant challenges for anesthesiologists during surgical procedures. This case report describes the successful management of a pediatric patient with congenital subglottic stenosis who underwent tracheotomy using esketamine combined with ultrasound-guided superficial cervical plexus block. The aim is to provide an alternative anesthetic approach for similar complex cases. CASE PRESENTATION: A 4-year-old child diagnosed with congenital subglottic stenosis and laryngeal obstruction (grade III) required emergency tracheotomy to alleviate the obstruction. Esketamine was selected as the sedative-analgesic agent to maintain spontaneous breathing. Ultrasound-guided bilateral superficial cervical plexus blocks were performed to enhance analgesia. The tracheotomy was successfully completed without any intraoperative movement or coughing. Postoperatively, the patient recovered well and was discharged from the hospital.
conclusionThe combination of esketamine and ultrasound-guided superficial cervical plexus block offers a safe and effective anesthetic approach for this pediatric patient with subglottic stenosis undergoing tracheotomy. Further studies are necessary to confirm the safety and efficacy of this technique.
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