Tracheomalacia and breath holding: a case report

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Tracheomalacia and breath holding: a case report.

A child with a long standing history of cyanotic breath holding attacks presented with acute respiratory distress. Subsequent investigation established that her clinical condition was caused by tracheomalacia. We hypothesise that tracheomalacia might be an under recognised contributor to cyanotic breath holding attacks, the pathogenesis of which is poorly understood.

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Breath-holding and its breakpoint.

This article reviews the basic properties of breath-holding in humans and the possible causes of the breath at breakpoint. The simplest objective measure of breath-holding is its duration, but even this is highly variable. Breath-holding is a voluntary act, but normal subjects appear unable to breath-hold to unconsciousness. A powerful involuntary mechanism normally overrides voluntary breath-h...

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A tracheostomy complication resulting from acquired tracheomalacia: case report.

Introduction Intraoperative complications of tracheostomy are well described in the literature. These include hemorrhage, perforation of the walls of the trachea and esophagus, recurrent laryngeal nerve injury, intraoperative fire, pneumothorax and pneumomediastinum, and tube displacement. We present an unusual complication encountered during a routine tracheostomy that resulted from severe tra...

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Case report of successful treatment of pallid breath-holding spells with glycopyrrolate.

Breath-holding spells are a common childhood disorder that typically present before 12 months of age. Whereas most cases are benign, some patients have very severe cases associated with bradycardia that can progress from asystole to syncope and seizures. Treatment studies have implicated the use of several therapies, such as oral iron, fluoxetine, and pacemaker implantation. This is a retrospec...

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It is vital to ask about illicit drug smoking in the respiratory history as marijuana smoking augments the detrimental effects of tobacco. We describe the case of a 28 year old marijuana smoker who developed a pneumothorax during a breath-holding competition. Pneumothorax is a common clinical entity that every physician should be aware of how to manage and lifetime risk is considerably increase...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2000

ISSN: 0003-9888

DOI: 10.1136/adc.83.4.340