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KMID : 1155520160110010104
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Anesthesia and Pain Medicine
2016 Volume.11 No. 1 p.104 ~ p.108
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The oropharyngeal bleeding after esophageal stethoscope insertion -A case report-
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Cho Kwang-Rae
Kim Myoung-Hun
Lee Won-Jin
Lee Jeong-Han
Lim Se-Hun
Lee Kun-Moo
Kim Young-Jae
Kim Jong-Han
Choi Deul-Nyuck
Chang Ho-Young
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Abstract
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The daily insertion of endotracheal tubes, laryngeal mask airways, oral/nasal airways, gastric tubes, transesophageal echocardiogram probes, esophageal dilators and emergency airways all involve the risk of airway structure damage. In the closed claims analysis of the American Society of Anesthesiologists, 6% of all claims concerned airway injury. Among the airway injury claims, the most common cause was difficult intubation. Among many other causes, esophageal stethoscope is a relatively noninvasive monitor that provides extremely useful information. Relatively not many side effects that hardly is ratable. Some of that was from tracheal insertion, bronchial insertion resulting in hypoxia, hoarseness due to post cricoids inflammation, misguided surgical dissection of esophagus. Also oropharyngeal bleeding and subsequent anemia probably are possible and rarely pharyngeal/esophageal perforations are also possible because of this device. Careful and gentle procedure is necessary when inserting esophageal stethoscope and observations for injury and bleeding are needed after insertion.
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KEYWORD
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Airway injury, Esophageal stethoscope, Oropharyngeal laceration
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