In the infant with croup, difficulties in extubation are sometimes experienced for a long time after tracheostomy. This presents a problem to the physician as well as the child's parents. The expense of prolonged hospitalization of the infant may be a serious drain on a limited income. On the other hand, few parents, particularly in families with more than one child, are equipped to take care of an infant with a tracheotomy tube that must be frequently aspirated and changed.
An instance is reported in which the difficulty seemed to be due to contact dermatitis of the tracheal mucosa caused by the disinfectant used for sterilizing the plastic catheter, and the simple measures by which the difficulty was overcome are presented in the hope that one problem complicating a valuable procedure may be eliminated.
Report of a Case
The patient, a 3-month-old boy, one of premature twins, was admitted to
PADNOS E, HORWITZ ID, WUNDER G. Contact Dermatitis Complicating Tracheostomy: Causative Role of Aqueous Solution of Benzalkonium Chloride. Am J Dis Child. 1965;109(1):90–91. doi:10.1001/archpedi.1965.02090020092012
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