scholarly journals Inner Wall Detachment of the Spiral Tube During Extubation: A Case Report

2017 ◽  
Vol 64 (3) ◽  
pp. 171-172
Author(s):  
Tomo Morota ◽  
Katsuya Endou ◽  
Hiroshi Omizo ◽  
Setsuo Furuta ◽  
Hisashi Miyajima
Keyword(s):  
At Risk ◽  
Nitrous Oxide ◽  
Case Report ◽  
Respiratory Failure ◽  
Dental Caries ◽  
General Anesthesia ◽  
Endotracheal Tube ◽  
Contributing Factors ◽  
Spiral Tube ◽  
Inner Surface

We report a case of endotracheal tube malfunction, in which the inner surface of the tube peeled off during anesthesia. The patient, a 7-year-old boy, was under general anesthesia for the treatment of multiple dental caries. The damaged tube could have caused respiratory failure, putting the patient's life at risk. We speculate that the use of nitrous oxide was one of the contributing factors to the inner wall detachment. Several additional lessons can be learned from this incident in order to prevent tube-related trouble during an operation.

scholarly journals General Anesthesia for a Child With Landau-Kleffner Syndrome, a Case Report

2010 ◽  
Vol 57 (3) ◽  
pp. 109-111
Author(s):  
Biswajit Ghosh ◽  
David Carsten
Keyword(s):  
Case Report ◽  
Dental Caries ◽  
General Anesthesia ◽  
Case Reports ◽  
Additional Case

Abstract Landau-Kleffner syndrome is a rare, epileptiform disorder with a pathognomonic sudden aphasia, epilepsy, and electroencephalographic abnormalities. It was first described in 1957. No case reports are included in the anesthesia literature. This case report describes a 9-year-old male who was treated for dental caries while under intubated general anesthesia. The case was successful and uneventful, with multiple precautions taken to prevent seizures or other complications. The authors hope that this report will provoke communication and additional case reports.

Respiratory Failure due to Myotonic Dystrophy after General Anesthesia -A case report-

2005 ◽  
Vol 48 (4) ◽  
pp. 436 ◽  
Author(s):  
Young Jae Kim ◽  
Bong Geun Ku ◽  
Jeong Han Lee ◽  
Kun Moo Lee ◽  
Soon Ho Cheong ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
General Anesthesia ◽  
Myotonic Dystrophy

Sympathetic Hyperactivity, Respiratory Failure, Pruritus, and Anesthesia After Unintentional Epidural Injection of Potassium Chloride: Case Report

1998 ◽  
Vol 23 (2) ◽  
pp. 219-222
Author(s):  
Paulo do Nascimento ◽  
Norma Sueli Pinheiro Módolo ◽  
José Fernando do Amaral Meletti ◽  
José Reinaldo Cerqueira Braz
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
General Anesthesia ◽  
Potassium Chloride ◽  
Postoperative Period ◽  
Ventilatory Support ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Anesthetic Technique ◽  
Total Recovery

Background and ObjectivesA combination of epidural and general anesthesia has been widely used to attenuate the surgical stress response and to provide postoperative analgesia. This case report illustrates the use of this anesthetic technique. Analgesia was induced with local anesthetic in the immediate postoperative period using unintentional 19.1% potassium chloride (KCI) as diluent.MethodsAn ASA I male patient was scheduled for surgical correction of idiopathic megaesophagus under continuous epidural anesthesia combined with general anesthesia. In the postoperative period, while preparing 10 mL 0.125% bupivacaine to be administered through the epidural catheter for pain control, 5 mL 19.1% KCI was unintentionally used as diluent, resulting in a 9.55% potassium solution concentration.ResultsThe patient developed warmness of the lower limbs, tachycardia, hypertension, intense pruritus on the chest, agitation, exacerbation of sensory and motor blocks, and respiratory failure secondary to pulmonary edema, requiring ventilatory support. Total recovery was observed after 24 hours.ConclusionsEpidurally injected potassium leads to severe clinical manifestations caused by autonomic dysfunction, spinal cord irritation, and possible release of histamine. Despite continuous recommendations, ampule misidentification still happens in hospitals, frequently leading to serious accidents.

scholarly journals Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Ling Antonia Zeng ◽  
Sui An Lie ◽  
Shin Yuet Chong
Keyword(s):  
At Risk ◽  
Patient Satisfaction ◽  
General Anesthesia ◽  
Endotracheal Tube ◽  
Facial Skin ◽  
Skin Injury ◽  
Patient Satisfaction Score ◽  
Endotracheal Tubes ◽  
Patients At Risk ◽  
Medical Adhesive

Introduction. Adhesive tapes are used for taping eyelids closed and securing endotracheal tubes during general anesthesia. These tapes can cause facial skin injury. We compared the incidence of facial skin injury and patient satisfaction with different tapes used.Methods. A total of 60 adult patients at risk of skin trauma were randomized to use 3M™Kind Removal Silicone Tape or standard acrylate tapes: 3M Durapore (endotracheal tube) and Medipore (eyelids). Patients were blinded to tape used. Postoperatively, a blinded recovery nurse assessed erythema, edema, and denudation of skin. Anesthesiologist in charge also assessed skin injury. On postoperative day 1, patients rated satisfaction with the condition of their skin over the eyelids and face on a 5-point Likert scale.Results. More patients had denudation of skin with standard tapes, 4 (13.3%) versus 0 with silicone tape (p=0.026) and in anesthesiologist-evaluated skin injury 11 (37%) with standard versus 1 (3%) with silicone (p=0.002). No significant differences were found in erythema and edema. Patient satisfaction score was higher with silicone tape: over eyelids: mean 3.83 (standard) versus 4.53 (silicone), Mann-WhitneyUtest,p<0.001; over face: mean 3.87 (standard) versus 4.57 (silicone) (p<0.001).Conclusion. Silicone tape use had less skin injury and greater patient satisfaction than standard acrylate tapes.

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