Details

Autor(en) / Beteiligte

• Dong Kyu Lee
• Byung Gun Lim
• Il Ok Lee
• Hye Ran Oh
• Sang Ho Lim
• Mi Kyoung Lee

Titel

Case Report: Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases

Ist Teil von

• Korean journal of anesthesiology, 2013-05, Vol.64 (5), p.456

Ort / Verlag

대한마취통증의학회(구 대한마취과학회)

Erscheinungsjahr

2013

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the trachea using fiberoptic bronchoscopy (FB) in the prone position. We advanced a wire-reinforced tube toward the carina beyond the lesion. This allowed correction of the ventilatory abnormalities. We encountered another patient scheduled for the same operation. We performed FB in advance before the position change and observed a narrowed portion of trachea. We advanced the tracheal tube under FB beyond the pathologic portion and then moved the patient into the prone position. The operation was done successfully without any problems. (Korean J Anesthesiol 2013; 64: 456-459)