https://scholars.lib.ntu.edu.tw/handle/123456789/336873
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Lee, Yi-Hui | en_US |
dc.contributor.author | Hsieh, Pei-Fang | en_US |
dc.contributor.author | HUI-HSUN HUANG | en_US |
dc.contributor.author | KUANG-CHENG CHAN | en_US |
dc.creator | Lee, Y.-H. and Hsieh, P.-F. and Huang, H.-H. and Chang, K.-C. | - |
dc.date.accessioned | 2018-09-10T06:51:50Z | - |
dc.date.available | 2018-09-10T06:51:50Z | - |
dc.date.issued | 2008 | - |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-54449091181&partnerID=MN8TOARS | - |
dc.identifier.uri | http://scholars.lib.ntu.edu.tw/handle/123456789/336873 | - |
dc.description.abstract | Upper airway obstruction is one of the life-threatening events in cervical spine surgery. The risk is particularly great during the period immediately after operation. We present the case of a 56-year-old female with breast cancer and metastasis to the cervical spine. The surgical procedure involved C2-C3 laminectomy, posterior fixation (C0-C5), and C2 neurectomy. Tracheal extubation was carried out in the intensive care unit, and upper airway obstruction immediately followed. Emergency cricothyrotomy was performed under well-managed ventilation with a laryngeal mask after several failed intubation attempts. Over-flexion of the cervical spine fixation and severe prevertebral soft tissue swelling were the most probable causes of upper airway obstruction. With a well-adjusted angle for fixation of the cervical spine under fluoroscopic guidance before the procedure, such a surgical mishap could be avoided. Reintubation with a fiberscope might be considered first, and sustaining intubation for 2-3 days postoperatively could be safer in such high risk patients. ? 2008 Taiwan Society of Anesthesiologists. | en_US |
dc.language | en | en |
dc.relation.ispartof | Acta Anaesthesiologica Taiwanica | en_US |
dc.source | AH | - |
dc.subject | Airway obstruction; Cervical vertebrae; Spinal fusion | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; article; artificial ventilation; breast cancer; case report; cervical spine; clinical feature; disease severity; emergency surgery; extubation; female; general anesthesia; human; laminectomy; laryngeal mask; mastectomy; nasotracheal intubation; neurectomy; nuclear magnetic resonance imaging; oxygen saturation; soft tissue disease; spine fusion; spine metastasis; surgical approach; tracheotomy; upper respiratory tract obstruction | - |
dc.title | Upper airway obstruction after cervical spine fusion surgery: Role of cervical fixation angle | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1016/S1875-4597(08)60008-9 | - |
dc.relation.pages | 134-137 | en_US |
dc.relation.journalvolume | 46 | en_US |
dc.relation.journalissue | 3 | en_US |
item.openairetype | journal article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.orcid | 0000-0003-3302-9910 | - |
crisitem.author.orcid | 0000-0003-3410-605X | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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