Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases-
Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the tra...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2013-05-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-64-456.pdf |
| _version_ | 1819212017870831616 |
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| author | Dong Kyu Lee Byung Gun Lim Il-Ok Lee Hye-Ran Oh Sang Ho Lim Mi Kyoung Lee |
| author_facet | Dong Kyu Lee Byung Gun Lim Il-Ok Lee Hye-Ran Oh Sang Ho Lim Mi Kyoung Lee |
| author_sort | Dong Kyu Lee |
| collection | DOAJ |
| description | Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the trachea using fiberoptic bronchoscopy (FB) in the prone position. We advanced a wire-reinforced tube toward the carina beyond the lesion. This allowed correction of the ventilatory abnormalities. We encountered another patient scheduled for the same operation. We performed FB in advance before the position change and observed a narrowed portion of trachea. We advanced the tracheal tube under FB beyond the pathologic portion and then moved the patient into the prone position. The operation was done successfully without any problems. |
| first_indexed | 2024-12-23T06:36:17Z |
| format | Article |
| id | doaj.art-55494072c15e4349a0d91cc4c358beea |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T06:36:17Z |
| publishDate | 2013-05-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-55494072c15e4349a0d91cc4c358beea2022-12-21T17:56:48ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-05-0164545645910.4097/kjae.2013.64.5.4567581Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases-Dong Kyu Lee0Byung Gun Lim1Il-Ok Lee2Hye-Ran Oh3Sang Ho Lim4Mi Kyoung Lee5Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the trachea using fiberoptic bronchoscopy (FB) in the prone position. We advanced a wire-reinforced tube toward the carina beyond the lesion. This allowed correction of the ventilatory abnormalities. We encountered another patient scheduled for the same operation. We performed FB in advance before the position change and observed a narrowed portion of trachea. We advanced the tracheal tube under FB beyond the pathologic portion and then moved the patient into the prone position. The operation was done successfully without any problems.http://ekja.org/upload/pdf/kjae-64-456.pdfduchenne muscular dystrophyprone positiontracheal narrowing |
| spellingShingle | Dong Kyu Lee Byung Gun Lim Il-Ok Lee Hye-Ran Oh Sang Ho Lim Mi Kyoung Lee Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- Korean Journal of Anesthesiology duchenne muscular dystrophy prone position tracheal narrowing |
| title | Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- |
| title_full | Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- |
| title_fullStr | Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- |
| title_full_unstemmed | Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- |
| title_short | Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases- |
| title_sort | unexpected tracheal narrowing during general anesthesia in the prone position of duchenne muscular dystrophy patient a report of two cases |
| topic | duchenne muscular dystrophy prone position tracheal narrowing |
| url | http://ekja.org/upload/pdf/kjae-64-456.pdf |
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