Subcutaneous Emphysema and Inflammation of the Neck after Tracheal Puncture by an Intubating Stylet
| Autor: | Hyung Jun Lim, Dong Min Kwak, Sun Ok Song, Dae Pal Park, Jong Gyun Kim, Dae Lim Jee, Deok Hee Lee, Heung Dae Kim, Sae Yeon Kim, Gul Jung, Woo Mok Byun, Il Sook Seo |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Glottis medicine.diagnostic_test business.industry medicine.medical_treatment Laryngoscopy Tracheal intubation Perforation (oil well) Mediastinum respiratory system Stylet Surgery medicine.anatomical_structure medicine Intubation medicine.symptom business Subcutaneous emphysema |
| Zdroj: | Yeungnam University Journal of Medicine. 24:344 |
| ISSN: | 2234-8042 1225-7737 |
| Popis: | Laryngo-tracheal perforation caused by the use of a stylet during tracheal intubation is a rare complication. We present a case of subcutaneous emphysema and connective tissue inflammation after tracheal intubation. The patient was a 41-year-old male undergoing general anesthesia for an appendectomy. The intubation was difficult during laryngoscopy (Cormack- Lehane Grade III). An assistant provided an endotracheal tube with a stylet inside while the laryngoscope was in place. During intubation, a short, dull sound was heard with a sudden loss of resistance after the distal tip of the endotracheal tube passed the rima glottis. A sonogram and computerized tomography revealed subcutaneous emphysema from the neck to the upper mediastinum and fluid collection between the trachea and the thyroid. This lesion appeared to have been caused by the protruded, loose stylet. Anesthesiologists should be aware of the damage a loose stylet protruding beyond the tip of the endotracheal tube can cause. |
| Databáze: | OpenAIRE |
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