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Tissue expander causing iatrogenic difficult intubation

I A Chadha1, S T Multani, A Chadha

  • 1Department of Anaesthesiology, B. J. Medical College, Ahmedabad, India.

Anaesthesia
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

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Transient tracheal intubation difficulties can arise from anatomical issues, sometimes caused by prior surgery. This case highlights how a neck tissue expander can temporarily impede intubation.

Area of Science:

  • Anesthesiology
  • Surgical Complications

Background:

  • Tracheal intubation can be challenging due to anatomical variations and pathologies.
  • Previous surgical interventions can alter neck anatomy, potentially complicating future procedures.

Observation:

  • A patient experienced unexpected difficulty during tracheal intubation.
  • The difficulty was linked to a tissue expander placed under the anterolateral neck skin.

Findings:

  • The presence of a tissue expander created transient anatomical obstruction.
  • This obstruction led to temporary challenges in achieving successful tracheal intubation.

Implications:

  • Anesthesiologists should consider iatrogenic causes of difficult intubation.

Related Experiment Videos

  • Awareness of tissue expanders as a potential cause is crucial for airway management.