Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient: A report of two cases / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 456-459, 2013.
Article
in English
| WPRIM
| ID: wpr-227432
ABSTRACT
Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the trachea using fiberoptic bronchoscopy (FB) in the prone position. We advanced a wire-reinforced tube toward the carina beyond the lesion. This allowed correction of the ventilatory abnormalities. We encountered another patient scheduled for the same operation. We performed FB in advance before the position change and observed a narrowed portion of trachea. We advanced the tracheal tube under FB beyond the pathologic portion and then moved the patient into the prone position. The operation was done successfully without any problems.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scoliosis
/
Trachea
/
Bronchoscopy
/
Prone Position
/
Muscular Dystrophy, Duchenne
/
Anesthesia, General
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2013
Type:
Article
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