Airway Obstruction due to Huge Dried Mucous Plug Discovered during Induction of Anesthesia : A case report
Anesthesia and Pain Medicine
;
: 67-70, 2008.
Article
in Korean
| WPRIM
| ID: wpr-98891
ABSTRACT
Endotracheal obstruction may cause serious complications, including cardiovascular instability, pneumothorax, pulmonary edema and even brain death. A 21-year-old man was scheduled to undergo an open reduction for an orbital fracture. The patient had tracheostomy with an 8.0 mm tracheostomy tube 3 weeks ago and was breathing well spontaneously. When the cuff of tracheostomy tube was inflated for assisted manual ventilation and the induction of anesthesia, signs of partial endotracheal obstruction were observed, including high airway pressure, low tidal volume and high ETCO2. Large dried mucous plug was impacted in the tracheostomy tube. After removing this plug with a sterile surgical forcep, effective ventilation was recovered without complications. The case like this nearly fatal obstruction by large dried mucous plug was rarely reported, but it should be considered cautiously when a patient uses tracheostomy tube as an airway before general anesthesia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbital Fractures
/
Pneumothorax
/
Pulmonary Edema
/
Respiration
/
Surgical Instruments
/
Ventilation
/
Brain Death
/
Tracheostomy
/
Tidal Volume
/
Airway Obstruction
Limits:
Humans
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2008
Type:
Article
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