Unanticipated Difficult Intubation in Patient with Undiagnosed Posterior Glottic Stenosis
Soonchunhyang Medical Science
;
: 62-64, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-761390
ABSTRACT
Posterior glottic stenosis (PGS) is frequently caused by prolonged intubation complications, which may limit the movement of the vocal cords and obstruct airway obstruction. Despite of a life-threatening condition, it might be overlooked in asymptomatic individual. A 63-year-old female was scheduled for arthroscopic rotator cuff repair. The patient had experienced 2 times of intubation and organophosphate poisoning for suicide. Both of 7.0- and 6.5-mm inner diameter endotracheal tubes could not be passed vocal cords. After two failed attempts at intubation, adhesion of posterior part of vocal cord was revealed. We stopped the tracheal intubation and called the otolaryngologist, and adhesiolysis was performed under direct laryngosope. Thereafter, endotracheal intubation was performed successfully with 6.5-mm endotracheal tube.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Suicídio
/
Prega Vocal
/
Manguito Rotador
/
Constrição Patológica
/
Obstrução das Vias Respiratórias
/
Manuseio das Vias Aéreas
/
Intoxicação por Organofosfatos
/
Intubação
/
Intubação Intratraqueal
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Soonchunhyang Medical Science
Ano de publicação:
2019
Tipo de documento:
Artigo
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