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
Hauptverfasser: Jiang, Yandong, Acquadro, Martin A
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creator Jiang, Yandong
Acquadro, Martin A
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.
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source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
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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