Unexpected Anesthetic Circuit Leak Attributed to Improper Use of a Tube Holder: A Case Report

Leaks involving the anesthesia circuit can cause significant complications including hypoxia and hypoventilation. We present a case of a circuit leak caused by damage to the corrugated tubing attributed to improper use of the tube holder. A 58-year-old male was scheduled for resection of a palatal tumor under an intubated general anesthetic. After successful nasotracheal intubation, the anesthesiologist inserted the corrugated tubing of the anesthetic circuit into the tube holder. A leaking sound was heard and a tear in the corrugated tubing was promptly discovered. The corrugated tubing of the anesthetic circuit presumably tore because it was inserted into the groove of the tube holder at an inappropriate angle with excessive force. Anesthesiologists should be aware of potential leaks if the anesthesia circuit is damaged, which may be caused by improper use of tube holders.

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Indications for Tonsillectomy in Infectious Mononucleosis

PEDIATRICS ◽

10.1542/peds.48.2.338 ◽

1971 ◽

Vol 48 (2) ◽

pp. 338-339

Author(s):

Edward J. Feroli ◽

Gordon W. Mella ◽

Frank A. Pedreira ◽

Regis T. Storch ◽

Howard P. Gutgesell

Keyword(s):

Case Report ◽

Infectious Mononucleosis ◽

Community Hospital ◽

Nasotracheal Intubation ◽

Benign Disease ◽

Therapeutic Modality ◽

High Dose ◽

High Dose Corticosteroid ◽

Acute Airway Obstruction ◽

Dose Corticosteroid

We read with interest the recent report, "Acute Airway Obstruction in Infectious Mononucleosis."1 Dr. Gutgesell appropriately has called attention to a serious complication of a usually benign disease. He mentions brief, high-dose corticosteroid therapy, tracheotomy, nasotracheal intubation, and IPPB as potential modes of therapy. The following case report suggests an additional therapeutic modality in the management of these patients. A 4-year-old girl was admitted to a community hospital in acute respiratory distress associated with suspected infectious mononucleosis.

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Valsalva hemorrhagic retinopathy presenting as a rare cause of impaired vision after a general anesthetic—a case report and review of the literature

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2015.03.013 ◽

2015 ◽

Vol 27 (4) ◽

pp. 341-346 ◽

Cited By ~ 3

Author(s):

Paul S. Patane ◽

Thomas K. Krummenacher ◽

Rajesh C. Rao

Keyword(s):

Case Report ◽

Review Of The Literature ◽

General Anesthetic ◽

Impaired Vision

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Olfactory Dysfunction After Oral and Maxillofacial Surgery

10.21203/rs.3.rs-690029/v1 ◽

2021 ◽

Author(s):

Yaxi Wang ◽

Hua Li ◽

Xuanping Huang ◽

Nuo Zhou

Keyword(s):

General Anesthesia ◽

Nasal Septum ◽

Rare Complication ◽

Nasotracheal Intubation ◽

Maxillofacial Surgery ◽

Olfactory Dysfunction ◽

Oral And Maxillofacial Surgery ◽

General Anesthetic ◽

Anesthetic Drugs ◽

Nasal Septum Deviation

Abstract Background: Although anesthesia can contribute to olfactory dysfunction, it is a rare complication after oral and maxillofacial surgery by general anesthesia.Cases presentation: In this study, we introduced 3 cases of patient suffering from anosmia (complete loss of smell), after oral and maxillofacial surgery by general anesthesia. We also investigated possible etiologies of anosmia. Conclusions: There are some evidences that anosmia is caused by nasotracheal intubation, which may cause OM injury and/or swing of the nasal septum in patients with nasal septum deviation. Olfactory dysfunction via general anesthetic drugs, however, may have a different etiology.

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Inferior turbinate outfracture for successful nasotracheal intubation in a patient undergoing maxillofacial surgery: case report

Journal of Dental Anesthesia and Pain Medicine ◽

10.17245/jdapm.2019.19.6.389 ◽

2019 ◽

Vol 19 (6) ◽

pp. 389

Author(s):

Min A Kwon

Keyword(s):

Case Report ◽

Nasotracheal Intubation ◽

Maxillofacial Surgery ◽

Inferior Turbinate

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P-33 Nasotracheal intubation “on blind” (NIOB) in the patients apartment — Case report

Resuscitation ◽

10.1016/0300-9572(96)83892-5 ◽

1996 ◽

Vol 31 (3) ◽

pp. S29

Author(s):

B. Nikoli ◽

M. Bozina

Keyword(s):

Case Report ◽

Nasotracheal Intubation

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Deliberate Hypotensive Anesthesia With the Rapidly Acting, Vascular-Selective, L-Type Calcium Channel Antagonist—Clevidipine: A Case Report

Anesthesia Progress ◽

10.2344/0003-3006-61.1.18 ◽

2014 ◽

Vol 61 (1) ◽

pp. 18-20 ◽

Cited By ~ 4

Author(s):

Kevin Croft ◽

Stephen Probst

Keyword(s):

Case Report ◽

Calcium Channel ◽

Channel Blocker ◽

Anesthetic Management ◽

Class Iii ◽

Class Iii Malocclusion ◽

General Anesthetic ◽

Deliberate Hypotension ◽

Skeletal Class ◽

Maxillary Osteotomy

Abstract Deliberate hypotension is an important technique for use in select anesthetics for procedures such as orthognathic surgery, specifically LeFort I maxillary osteotomy. We present a case report of an anesthetic involving deliberate hypotension for a 17-year-old female patient who presented for a LeFort I osteotomy, bilateral sagittal split of the mandible, and a genioplasty in order to correct a skeletal class III malocclusion. After reaching a steady-state general anesthetic, deliberate hypotension was induced solely with a bolus and subsequent continuous infusion of the ultrashort acting calcium channel blocker, clevidipine. The preoperative, intraoperative, and postoperative course and anesthetic management are discussed.

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