Airway obstruction by extrinsic tracheal compression during spinal surgery under prone position: A case report.
10.4097/kjae.2010.59.S.S45
- Author:
Rak Min CHOI
1
;
Jin Sun YOON
;
Jae Hoon NOH
;
Kyoung Oh KANG
;
Sang Wook RYU
;
Hee Jung JUN
;
Sam Soon CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul Veterans Hospital, Seoul, Korea. medisun74@naver.com
- Publication Type:Case Report
- Keywords:
Fiberoptic bronchoscopy;
Prone position;
Tracheal compression;
Vascular anomaly
- MeSH:
Adult;
Aged;
Airway Obstruction;
Anesthesia, General;
Brachiocephalic Trunk;
Bronchoscopy;
Child;
Female;
Humans;
Neck;
Postoperative Period;
Prone Position;
Spine;
Trachea
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S45-S48
- CountryRepublic of Korea
- Language:English
-
Abstract:
Tracheal compression by vascular anomalies in adults is uncommon and most related reports are of children. A 79-year-old woman without any respiratory history underwent a lumbar spine surgery under general anesthesia. She suddenly developed airway obstruction after a position change from supine to prone. A fiberoptic bronchoscopy showed the obstruction of endotracheal tube. The obstruction was relieved after we changed the depth of endotracheal tube and supported the patient's neck with a cotton roll. The surgery ended without any other event and the patient recovered safely. A computed tomography revealed the rightward tracheal deviation and tortuous innominate artery contact with trachea. The patient didn't manifest any respiratory related symptoms during postoperative period, and she was discharged without any treatment.
