Title of article :
Unusual Airway Obstruction during General Anesthesia following Endotracheal Tube Cuff Herniation; A Case Report
Author/Authors :
Teymourian ، Houman Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Maddadi ، Firoozeh Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Khorasanizadeh ، Shayesteh Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Tizghadam ، Atieh Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Azizi Faresani ، Hamidreza Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Behnaz ، Faranak Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences , Ebrahimi Dehkordi ، Masih Anesthesiology Department - Shohda Tajrish Hospital - Shahid Beheshti university of Medical Sciences
Abstract :
Background: Airway management is always of great concern for anesthesiologists especially in the prone position. Utilizing an Armored endotracheal tube is considered to be safe in such patients. Cases Report: In this current case, we introduce a patient undergoing a wake-up test during spinal surgery who suffered from hypoventilation at the end of surgery. His condition improved only after extubation. After extubation, we confronted a herniated cuff that was not deflated, although we tried twice. We concluded that the patient s respiratory effort against obstructed airway produced a negative pressure, which made the cuff herniated, resulting in airway obstruction. Moreover, the patient biting the tube during the wakeup test damaged the tube and cuff deflation pathway. Conclusion: It is important to consider cuff herniation as a cause of obstruction when other possible etiologies are ruled out.
Keywords :
Endotracheal tube , Airway obstruction , Wake up test , Cuff herniation
Journal title :
Novelty in Biomedicine
Journal title :
Novelty in Biomedicine
