Adducted vocal cords relieved by neuromuscular blocking drug: a cause of impaired mechanical ventilation when using a Laryngeal Mask Airway: two photographically documented cases

Adducted vocal cords relieved by neuromuscular blocking drug: a cause of impaired mechanical ventilation when using a Laryngeal Mask Airway: two photographically documented cases

Abstract Two cases of vocal cord closure, which was responsible for acute intraoperative impairment of mechanical ventilation in two patients with entropy-controlled depth of anesthesia, are reported. Administration of low-dose neuromuscular blocking drug was associated with immediate vocal cord rel...

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Veröffentlicht in:Journal of clinical anesthesia 2014-12, Vol.26 (8), p.668-670
Hauptverfasser: Ghimouz, Abdelmalek, MD, Lentschener, Claude, MD, Goater, Philippe, MD, Borne, Marc, MD, Esteve, Marc, MD
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Airway management
Anesthesia & Perioperative Care
Anesthesia - methods
Drug dosages
Entropy
Female
Humans
Intubation
Laryngeal Mask Airway
Laryngeal Masks
Larynx
Mechanical ventilation
Middle Aged
Neuromuscular blocking agent
Neuromuscular Blocking Agents - administration & dosage
Neuromuscular Blocking Agents - therapeutic use
Pain Medicine
Patients
Respiration, Artificial - methods
Ventilation
Vocal cord closure
Vocal Cords - pathology
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Zusammenfassung:Abstract Two cases of vocal cord closure, which was responsible for acute intraoperative impairment of mechanical ventilation in two patients with entropy-controlled depth of anesthesia, are reported. Administration of low-dose neuromuscular blocking drug was associated with immediate vocal cord relaxation and restoration of efficient mechanical ventilation.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2014.05.013