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Updated: Mar 19, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Crisis Management of Accidental Extubation in a Prone-Positioned Patient with Klippel-Feil Syndrome
Matthew Spond1, Tyler Burns, Thea Rosenbaum
1From the Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arizona.
Abstract:
We present the case of an accidental extubation in a prone-positioned patient with a challenging airway because of Klippel-Feil syndrome and previous cervical spine fusions. The surgical procedure was well underway when this occurred, which added substantially to the difficulties produced by this event. We herein highlight the corrective steps we took in our case. We also recommend the need for a comprehensive preoperative briefing with all operating room personnel together with an action plan for how to prevent this particular scenario.
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