강직성 경부 류마토이드 환자에서 기관 내관 삽관시 발생한 식도천공 보고

Adverse respiratory events during endotracheal intubation for general anesthesia are variable. These events frequently occur to difficult airway patients. Traumatic endotracheal intubation with poor glottic exposure and blind thrust can perforate the hypopharynx or cervical esophagus. We experienced...

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Published inKorean journal of anesthesiology Vol. 26; no. 6; pp. 1289 - 1293
Main Authors 김미운, Mi Woon Kim, 문현수, Hyun Soo Moon, 성시욱, Sea Wook Sung, 김성오, Seong Oh Kim, 김용락, Yong Lack Kim
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 30.12.1993
Subjects
endotracheal intubation
esophageal perforation
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Summary:Adverse respiratory events during endotracheal intubation for general anesthesia are variable. These events frequently occur to difficult airway patients. Traumatic endotracheal intubation with poor glottic exposure and blind thrust can perforate the hypopharynx or cervical esophagus. We experienced a case of esophageal perforation during endotracheal intubation for general anesthesia of total hip replacement in a 50 year old female patient. Neck extension was almost impossible due to longstanding ankylosing rheumatoid cervical arthritis. We tried several times of endotracheal intubation but failed. Post-operative esophago-graphy after we found subcutaneous emphysema confirmed esophageal perforation. Emergency tube drainage and general supportive care were done. Fortunately she recovered uneventfully and discharged on post-op. 30th days.
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563