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KMID : 1155520180130010102
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Anesthesia and Pain Medicine
2018 Volume.13 No. 1 p.102 ~ p.106
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Delayed diagnosis of postintubation tracheal laceration in a patient who underwent septorhinoplasty including osteotomy - A case report -
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Son Hyo-Jung
Mun Sue-Jean
Koh Jin-Woo
Kim Tae-Woong
Ri Hyun-Su
Kim Hyae-Jin
Yeo Gwi-Eun
Lee Dong-Kyu
Choi Yoon-Ji
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Abstract
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Iatrogenic postintubation tracheal injury is a rare but potentially fatal complication associated with anesthesia. However, as signs of tracheal injury including subcutaneous emphysema, pneumomediastinum, pneumothorax, and respiratory distress may also be related to surgical technique, diagnosis may be confused and treatment of tracheal injury can be delayed. We report a case of postintubation tracheal laceration, whose diagnosis was delayed because of symptoms were confused with subcutaneous emphysema after septorhinoplasty including osteotomy. As symptoms deteriorated in spite of conventional management, patient underwent evaluation to determine other causes and eventually postintubation tracheal injury was detected. Therefore, even if there is no problem during tracheal intubation, it is necessary to consider postintubation tracheal injury in patients with subcutaneous emphysema that worsens despite appropriate treatment after septorhinoplasty including osteotomy.
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KEYWORD
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Endotracheal intubation, Subcutaneous emphysema, Tracheal laceration
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