Tongue bite in a patient with tracheostomy after prone position -A case report

A 22-year-old man underwent an operation for posterolateral fusion of the lumbar spine at L3-5. He was ventilated via a tracheostomy site in a prone position for 210 minutes. Ventilator function and eyeballs were checked periodically. After changing his position to supine for the wake-up test, it wa...

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Bibliographic Details
Published inKorean journal of anesthesiology Vol. 60; no. 5; pp. 365 - 368
Main Authors Chae, Yun-Jeong, Kim, Jong-Yeop, Yoo, Ji-Young, Choi, Yi-Hwa, Park, Kwan-Sik
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Anesthesiologists 01.05.2011
Korean Society of Anesthesiologists
대한마취통증의학회
Subjects
Case Report
human bite
prone position
tracheostomy
마취과학
Prone position
Tracheostomy
Human bite
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Summary:A 22-year-old man underwent an operation for posterolateral fusion of the lumbar spine at L3-5. He was ventilated via a tracheostomy site in a prone position for 210 minutes. Ventilator function and eyeballs were checked periodically. After changing his position to supine for the wake-up test, it was noticed that his tongue was self-inflicted and looked to be cut unless immediate decompression was applied. After several manual attempts to open the mouth failed, anesthesia depth was deepened with thiopental sodium and neuromuscular blocker to decompress and reposition the tongue into the intraoral cavity. Minimal teeth marks and scarring remained after seven months without any complications.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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G704-000679.2011.60.5.006
ISSN:2005-6419
2005-7563
2005-7563
DOI:10.4097/kjae.2011.60.5.365