Upper airway obstruction caused by a double-cuffed nasal balloon after extubation
This case report highlights a situation in which a double-cuffed nasal balloon tamponade device can cause an upper airway obstruction. An 89-year-old female required general anesthesia for an emergent embolization for right-sided epistaxis. The patient had no signs of upper airway obstruction when a...
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Veröffentlicht in: | Journal of clinical anesthesia 2004-06, Vol.16 (4), p.301-304 |
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description | This case report highlights a situation in which a double-cuffed nasal balloon tamponade device can cause an upper airway obstruction. An 89-year-old female required general anesthesia for an emergent embolization for right-sided epistaxis. The patient had no signs of upper airway obstruction when a double-cuffed nasal tamponade balloon was in place prior to general anesthesia. However, upper airway obstruction occurred immediately after extubation and was corrected by cuff deflation. The mechanisms of upper airway obstruction as a result of cuff dysfunction and management are discussed. |
doi_str_mv | 10.1016/j.jclinane.2003.09.010 |
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An 89-year-old female required general anesthesia for an emergent embolization for right-sided epistaxis. The patient had no signs of upper airway obstruction when a double-cuffed nasal tamponade balloon was in place prior to general anesthesia. However, upper airway obstruction occurred immediately after extubation and was corrected by cuff deflation. The mechanisms of upper airway obstruction as a result of cuff dysfunction and management are discussed.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2003.09.010</identifier><identifier>PMID: 15261326</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Airway management ; Airway obstruction ; Airway Obstruction - etiology ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Balloon Occlusion - adverse effects ; Balloon Occlusion - instrumentation ; balloon tamponade ; Biological and medical sciences ; Blood clots ; Catheters ; epistaxis ; Epistaxis - therapy ; Female ; general anesthesia ; Heart attacks ; Hospitals ; Humans ; Intubation ; Larynx ; Medical equipment ; Medical sciences ; Migration ; nasal packing ; Ventilation</subject><ispartof>Journal of clinical anesthesia, 2004-06, Vol.16 (4), p.301-304</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-1e51abe7fa65017092ff0557060b622fbd5147f85ab5249065ebba123633c0583</citedby><cites>FETCH-LOGICAL-c422t-1e51abe7fa65017092ff0557060b622fbd5147f85ab5249065ebba123633c0583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1034973441?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16017540$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15261326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Yandong</creatorcontrib><creatorcontrib>Acquadro, Martin A</creatorcontrib><title>Upper airway obstruction caused by a double-cuffed nasal balloon after extubation</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>This case report highlights a situation in which a double-cuffed nasal balloon tamponade device can cause an upper airway obstruction. An 89-year-old female required general anesthesia for an emergent embolization for right-sided epistaxis. The patient had no signs of upper airway obstruction when a double-cuffed nasal tamponade balloon was in place prior to general anesthesia. However, upper airway obstruction occurred immediately after extubation and was corrected by cuff deflation. The mechanisms of upper airway obstruction as a result of cuff dysfunction and management are discussed.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Airway management</subject><subject>Airway obstruction</subject><subject>Airway Obstruction - etiology</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Balloon Occlusion - adverse effects</subject><subject>Balloon Occlusion - instrumentation</subject><subject>balloon tamponade</subject><subject>Biological and medical sciences</subject><subject>Blood clots</subject><subject>Catheters</subject><subject>epistaxis</subject><subject>Epistaxis - therapy</subject><subject>Female</subject><subject>general anesthesia</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intubation</subject><subject>Larynx</subject><subject>Medical equipment</subject><subject>Medical sciences</subject><subject>Migration</subject><subject>nasal packing</subject><subject>Ventilation</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkF2L1DAUhoMo7rj6F5aC6F3ryWfbO2XxCxZEcK_DSZpASqYdk0Z3_r0ZZmTBG68O5Dzvy8lDyA2FjgJV7-ZutjEsuLiOAfAOxg4oPCE7OvS8FZKNT8kORsnagQ5wRV7kPANAXdDn5IpKpihnake-3x8OLjUY0m88NqvJWyp2C-vSWCzZTY05NthMazHRtbZ4X58WzBgbgzGulUO_1QL3sBWDp-BL8sxjzO7VZV6T-08ff9x-ae--ff56--GutYKxraVOUjSu96gk0B5G5j1I2YMCoxjzZpJU9H6QaCQTIyjpjEHKuOLcghz4NXl77j2k9WdxedP7kK2LsTpZS9ZK9Yz1UlTw9T_gvJa01Ns0BS7GngtBK6XOlE1rzsl5fUhhj-lYIX1Srmf9V7k-Kdcw6qq8Bm8u9cXs3fQYuziuwJsLgNli9AkXG_Ijp-r3pTgVvT9zrlr7FVzS2Qa3WDeF5OympzX875Y_M8-hMQ</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>Jiang, Yandong</creator><creator>Acquadro, Martin A</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040601</creationdate><title>Upper airway obstruction caused by a double-cuffed nasal balloon after extubation</title><author>Jiang, Yandong ; Acquadro, Martin A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-1e51abe7fa65017092ff0557060b622fbd5147f85ab5249065ebba123633c0583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Airway management</topic><topic>Airway obstruction</topic><topic>Airway Obstruction - etiology</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Balloon Occlusion - adverse effects</topic><topic>Balloon Occlusion - instrumentation</topic><topic>balloon tamponade</topic><topic>Biological and medical sciences</topic><topic>Blood clots</topic><topic>Catheters</topic><topic>epistaxis</topic><topic>Epistaxis - therapy</topic><topic>Female</topic><topic>general anesthesia</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intubation</topic><topic>Larynx</topic><topic>Medical equipment</topic><topic>Medical sciences</topic><topic>Migration</topic><topic>nasal packing</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Yandong</creatorcontrib><creatorcontrib>Acquadro, Martin A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Yandong</au><au>Acquadro, Martin A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upper airway obstruction caused by a double-cuffed nasal balloon after extubation</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>16</volume><issue>4</issue><spage>301</spage><epage>304</epage><pages>301-304</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>This case report highlights a situation in which a double-cuffed nasal balloon tamponade device can cause an upper airway obstruction. An 89-year-old female required general anesthesia for an emergent embolization for right-sided epistaxis. The patient had no signs of upper airway obstruction when a double-cuffed nasal tamponade balloon was in place prior to general anesthesia. However, upper airway obstruction occurred immediately after extubation and was corrected by cuff deflation. The mechanisms of upper airway obstruction as a result of cuff dysfunction and management are discussed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15261326</pmid><doi>10.1016/j.jclinane.2003.09.010</doi><tpages>4</tpages></addata></record> |
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subjects | Aged Aged, 80 and over Airway management Airway obstruction Airway Obstruction - etiology Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Balloon Occlusion - adverse effects Balloon Occlusion - instrumentation balloon tamponade Biological and medical sciences Blood clots Catheters epistaxis Epistaxis - therapy Female general anesthesia Heart attacks Hospitals Humans Intubation Larynx Medical equipment Medical sciences Migration nasal packing Ventilation |
title | Upper airway obstruction caused by a double-cuffed nasal balloon after extubation |
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