Effectiveness of applying continuous positive airway pressure in a patient with paradoxical vocal fold movement after endotracheal extubation: a case report.
10.4097/kjae.2016.69.1.84
- Author:
Yeun Hee SHIN
1
;
Keu La Me SONG
;
Dong Chan KO
;
Jung Woo PIN
;
Kyong Ho RYU
;
Hyun Soo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. malia19831@gmail.com
- Publication Type:Case Report
- Keywords:
Continuous positive airway pressure;
Inspiratory stridor;
Paradoxical vocal fold movement;
Postoperative dyspnea
- MeSH:
Aged;
Airway Extubation*;
Airway Management;
Airway Obstruction;
Continuous Positive Airway Pressure*;
Humans;
Male;
Vocal Cords*
- From:Korean Journal of Anesthesiology
2016;69(1):84-87
- CountryRepublic of Korea
- Language:English
-
Abstract:
Paradoxical vocal fold movement (PVFM) is an uncommon upper airway disorder defined as paradoxical adduction of the vocal folds during inspiration. The etiology and treatment of PVFM are unclear. The physician should manage this condition because of the possibility of near complete airway obstruction in severe case of PVFM. We report a case of successful airway management in a patient with PVFM by applying continuous positive airway pressure (CPAP). In this case, PVFM was detected after removing an endotracheal tube from a 67-year-old male who underwent excision of a laryngeal mass. The patient recovered without complications in 1 day with support by CPAP.