Pneumothorax associated with tube exchanger-aided intubation following LMA-Fastrach™ placement in a patient during anesthesia induction - A case report

Wen Yu Chen, Jui An Lin, Hsueh Ling Chen, Chih Shung Wong, Shung Tai Ho, Chih Cherng Lu

研究成果: 雜誌貢獻文章同行評審

14 引文 斯高帕斯(Scopus)

摘要

The use of intubating laryngeal mask airway (LMA-Fastrach™) is indicated to facilitate endotracheal intubation in a patient with cervical spine disorder or suspected difficult airway. A 65-year-old female patient was referred to our hospital for cervical spine surgery under general anesthesia. During anesthesia induction, an LMA-Fastrach™ was used to facilitate intubation and an airway exchange catheter (AEC) was used to exchange the accompanying armored silicone endotracheal tube for a polyvinyl chloride (PVC) endotracheal tube. However, the pulse oximeter showed a fall of oxygen saturation (SpO2) after insertion of the AEC. As massive pneumothorax associated with subcutaneous emphysema was disclosed by chest roentgenography, a chest drainage was performed immediately. This article discourses the possible mechanism, diagnosis and treatment of pneumothorax during the course of general anesthesia and the prevention of lower airway injury by AEC is also touched.

原文英語
頁(從 - 到)227-231
頁數5
期刊Acta Anaesthesiologica Taiwanica
42
發行號4
出版狀態已發佈 - 十二月 2004
對外發佈

ASJC Scopus subject areas

  • 麻醉與疼痛醫學

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