Korean J Anesthesiol.  2010 Dec;59(Suppl):S45-S48. 10.4097/kjae.2010.59.S.S45.

Airway obstruction by extrinsic tracheal compression during spinal surgery under prone position: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul Veterans Hospital, Seoul, Korea. medisun74@naver.com

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.

Keyword

Fiberoptic bronchoscopy; Prone position; Tracheal compression; Vascular anomaly

MeSH Terms

Adult
Aged
Airway Obstruction
Anesthesia, General
Brachiocephalic Trunk
Bronchoscopy
Child
Female
Humans
Neck
Postoperative Period
Prone Position
Spine
Trachea

Cited by  1 articles

The changes of endotracheal tube cuff pressure by the position changes from supine to prone and the flexion and extension of head
Deokkyu Kim, Byeongdo Jeon, Ji-Seon Son, Jun-Rae Lee, Seonghoon Ko, Hyungsun Lim
Korean J Anesthesiol. 2015;68(1):27-31.    doi: 10.4097/kjae.2015.68.1.27.

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