Case Report: Sedation crisis caused by drug-induced sleep endoscopy in a pediatric patient with symptomatic multilevel airway obstruction - Takeaways - MDSpire

Case Report: Sedation crisis caused by drug-induced sleep endoscopy in a pediatric patient with symptomatic multilevel airway obstruction

  • By

  • 曾, 丽娥

  • Lin, Jieru

  • You, Yuting

  • Zheng, Jingyang

  • Fanzheng, Meng

  • April 28, 2026

  • 0 min

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  • 1

    Drug-induced sleep endoscopy (DISE) is a valuable diagnostic tool for assessing airway collapse during sedation in pediatric patients.

  • 2

    A 10-year-old boy experienced cardiorespiratory arrest during sedation for bronchoscopy due to severe pneumonia and multilevel airway obstruction.

  • 3

    Comprehensive evaluations failed to identify the cause of the patient's hypoxemia until DISE revealed significant airway obstructions.

  • 4

    The final diagnosis included symptomatic multilevel airway obstruction and severe dynamic tracheomalacia exacerbated by pneumonia.

  • 5

    Home non-invasive ventilation maintained the patient's oxygen saturation above 95%, highlighting effective management of his condition.

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