ArticleInternational medical case reports journal2026
Intraoperative Ventilation Failure Due to a Fenestrated Tracheostomy Tube in a Three-Month-Old Infant with a Laryngeal Mass: A Case Report and Literature Review.
Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pediatric tracheostomy is a common procedure, with a substantial proportion of cases performed on infants, often due to chronic respiratory failure or complex airway anomalies. This case report details a critical intraoperative event involving a three-month-old infant undergoing tracheostomy for a laryngeal mass. The patient experienced immediate and profound ventilation failure following the insertion of a fenestrated tracheostomy tube. Mechanical obstruction was ruled out by passing a suction catheter through the tube. Furthermore, switching ventilatory modes to pressure-controlled volume-guaranteed (PC-VG) or volume-controlled ventilation (VCV) was also ineffective in restoring adequate ventilation. This was managed using a completely unfenestrated tube. The tube was placed and the breathing circuit connected, a large portion of the air leak was successfully eliminated, and appropriate ventilation parameters were restored. Fenestrated tracheostomy tubes have established benefits in adults; however, this case highlights a cautionary observation in ventilated infants due to potential air leak and ventilatory failure, underscoring careful tube selection.
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