Delayed diagnosis of postintubation tracheal laceration in a patient who underwent septorhinoplasty including osteotomy: A case report
10.17085/apm.2018.13.1.102
- Author:
Hyo Jung SON
1
;
Sue Jean MUN
;
Jin Woo KOH
;
Tae Woong KIM
;
Hyun Su RI
;
Hyae Jin KIM
;
Gwi Eun YEO
;
Dong Kyu LEE
;
Yoon Ji CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, National Police Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Endotracheal intubation;
Subcutaneous emphysema;
Tracheal laceration
- MeSH:
Anesthesia;
Delayed Diagnosis;
Diagnosis;
Humans;
Intubation;
Intubation, Intratracheal;
Lacerations;
Mediastinal Emphysema;
Osteotomy;
Pneumothorax;
Subcutaneous Emphysema
- From:Anesthesia and Pain Medicine
2018;13(1):102-106
- CountryRepublic of Korea
- Language:English
-
Abstract:
Iatrogenic postintubation tracheal injury is a rare but potentially fatal complication associated with anesthesia. However, as signs of tracheal injury including subcutaneous emphysema, pneumomediastinum, pneumothorax, and respiratory distress may also be related to surgical technique, diagnosis may be confused and treatment of tracheal injury can be delayed. We report a case of postintubation tracheal laceration, whose diagnosis was delayed because of symptoms were confused with subcutaneous emphysema after septorhinoplasty including osteotomy. As symptoms deteriorated in spite of conventional management, patient underwent evaluation to determine other causes and eventually postintubation tracheal injury was detected. Therefore, even if there is no problem during tracheal intubation, it is necessary to consider postintubation tracheal injury in patients with subcutaneous emphysema that worsens despite appropriate treatment after septorhinoplasty including osteotomy.
