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GENERAL ARTICLES

Respiratory Arrest After Successful Neodymium:Yttrium-Aluminum-Garnet Laser Treatment of Subglottic Tracheal Stenosis

Basem Abdelmalak, MD^*, J. Victor Ryckman, MD^*, Sawsan AlHaddad, MD^*, and Juraj Sprung, MD PhD

*Department of General Anesthesiology, The Cleveland Clinic Foundation, Cleveland, Ohio; and Department of Anesthesiology, Mayo Medical School; Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota

Address correspondence and reprint requests to Basem Abdelmalak, MD, The Cleveland Clinic Foundation, Department of General Anesthesiology, E-31, 9500 Euclid Ave., Cleveland, OH 44195. Address e-mail to abdelmb{at}ccf.org

IMPLICATIONS: We describe a patient who developed respiratory arrest 4 h after successful laser treatment of tracheal stenosis. Respiratory arrest was caused, presumably, by airway narrowing due to delayed tissue edema secondary to thermal injury by deep penetration of the laser beam.