Journals / Türk Anestezi ve Reanimasyon Dergisi / 2009 / Cilt: 37 - Sayı: 4

An unusual case of difficult tracheal extubation associated with a thermistor probe

Isı probunun neden olduğu alışılmadık zor ekstübasyon olgusu

Pages
254–257
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The patient had no complication except suffering from a sore throat for a few days.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Resistance to endotracheal tube extubation was encountered at the end of the operation in a patient undergoing craniotomy for resection of an intracranial mass lesion.
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Key Findings & Data:Diagnostic direct laryngoscopy showed that the thermistor probe had been passed through the vocal cords.
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Conclusion & Impact:The patient had no complication except suffering from a sore throat for a few days.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Resistance to endotracheal tube extubation was encountered at the end of the operation in a patient undergoing craniotomy for resection of an intracranial mass lesion. Diagnostic direct laryngoscopy showed that the thermistor probe had been passed through the vocal cords. The patient was deeply anaesthetized again and neuromuscular block was accomplished. The endotracheal tube and the thermistor probe which was tangled around the tracheal tube like a belt were gently pulled out through the abducted vocal cords. The patient had no complication except suffering from a sore throat for a few days.

Özet

İntrakraniyal kitle rezeksiyonu için kraniyotomi uygulanan olguda, operasyon sonrasında endotrakeal tüpün ekstübasyonu sırasında direnç ile karşılaşıldı. Tanısal amaçla yapılan direkt laringoskopi ile ısı probunun vokal kordların arasından geçtiği belirlendi. Hastanın anestezisi yeniden derinleştirildi ve nöromusküler blok sağlandı. Endotrakeal tüp, çevresini kemer gibi dolanan ısı probuyla birlikte, abduksiyon pozisyonundaki vokal kordların arasından dışarı çıkarıldı. Hastada birkaç gün süren bogaz ağrısı dışında komplikasyon gözlenmedi.

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Cite This Article

KARACALAR, S., SARIHASAN, S., ŞEKERCİ, B. (2022). An unusual case of difficult tracheal extubation associated with a thermistor probe. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 4, 254–257. https://ajindex.com/articles/619912

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References (16)

  1. Blanc VF, Tremblay NAG. The complications of tracheal intubation: a new classification with a review of the literature. Anesth Analg 1974;53:202-13
  2. Searl CP, Passey J. An unexpected difficult extubation. Anaesth 2000;55:1033-4
  3. Hartley M, Vaughan RS. Problems associated with tracheal extubation. Br J Anaesth 1993;71:561-8
  4. Lee C, Shwartz S, Mok MS. Difficult extubation due to transfixsation of a nasotracheal tube by a Kirschner wire. Anesthesiology 1977;46:427
  5. Bhaskar PB, Scheffer RB, Drummond JN. Bilateral fixation of a nasotracheal tube by transfacial Kirschner wires. J Oral Maxillofac Surg. 1987;45:805-7
  6. Lang S, Jhonson DH, Lanigan DT, Ha H. Difficult tracheal intubation. Can J Anaesth 1989;36:340
  7. Akers JA. Failed extubation due to ‘sutured ’double-lumen tube. Anaesth and Intensive Care 1990;18:577
  8. Dryden GE. Circulatory collapse after pneumonectomy (an unusual complication from the use of a Carlens catheter). Anesth Analg 1977;56:451-2
  9. Popat MT, Dravid RM, Watt-Smith SR. Use of the flexible intubating fibrescope for tracheal re-intubation in a patient with difficult extubation. Anaesthesia 1999;54:359-61
  10. Levin H, Heifetz M:Ein weiterer Fall von schwieriger Herausnahme einer Kanule (Extubation). Anaesthesist 1986;35:323-4
  11. Tavakoll M, Corssen C: An unusual case of difficult extubation. Anesthesiology 1973;45:511-3
  12. Brock-Utne JG, Jaffe RA, Robins B, Ratner E. Difficulty in extubation: A case for concern. Anaesthesia 1992;47:229-30
  13. Ng TY, Data TD. Difficult extubation of an endotracheal tube cuff. Anesth and Analg1976;55: 876-7
  14. Sprung J, Conley SF, Brown M. Unusual cause of difficult extubation. Anesthesiology 1991;17:796-7
  15. Nakagawa H, Komatsu R, Hayashi K, Isa K, Tanaka Y. Fiberoptic evaluation of the difficult extubation [Case report]. Anesthesiology1995;82:785-6
  16. Tashayod M, Oskoui BA. Case of difficult extubation. Anesthesiology 1973;39:337.