Pharyngeal reperforation following incentive spirometry: A case report
Anesthesia and Pain Medicine
;
: 463-467, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-717869
ABSTRACT
Despite its widespread use, complication of incentive spirometry has been rarely reported. We report a case of pharyngeal reperforation following incentive spirometry. A 75-year-old female, had a history of long-term steroid use, entered the intensive care unit for maintenance of mechanical ventilation following surgical repair of a pharyngeal perforation. After ventilator weaning, incentive spirometry was implemented on postoperative day 4. Immediately after incentive spirometry use, patient's neck began to swell, and subcutaneous emphysema was palpated. Pharyngeal reperforation was suspected on neck computed tomography, and emergency surgery was performed. Surgery revealed a 3-cm long rupture from the hypopharynx to the esophagus. The causes were thought to be delayed wound healing due to long-term steroid use and a sudden increase in pharyngeal pressure due to incentive spirometry. In conclusion, particular attention should be paid when using incentive spirometry after head and neck surgery in patients with a history of long-term steroid use.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Respiração Artificial
/
Ruptura
/
Espirometria
/
Esteroides
/
Enfisema Subcutâneo
/
Cicatrização
/
Desmame do Respirador
/
Emergências
/
Esôfago
/
Cabeça
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2018
Tipo de documento:
Artigo
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