Universität zu Köln

Paul, C., Ladra, A., Pillai, V., Boettiger, B. W., Spoehr, F., Keller, K. and Zarghooni, K. (2011). Severe airway distress following cervical spine operation. Retrospective breakdown of the chain of errors. Anaesthesist, 60 (9). S. 845 - 850. NEW YORK: SPRINGER. ISSN 0003-2417

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Abstract

A 71-year-old female patient received a prothesis due to a cervical disc prolapsed and bleeding into the collar soft tissues occurred postoperatively. Following a computed tomography examination severe peracute respiratory decompensation occurred while administering topical anesthesia to the pharynx in order to perform fiber optic intubation. Endotracheal intubation using conventional laryngoscopy was unsuccessful and the patient required immediate cricothyroidotomy. As an on-site cricothyrotomy set to establish a secure airway was not available the decision was taken to perform surgical cricothyroidotomy. As a conclusion to this life-threatening event in the case of symptoms, such as dyspnea, dysphonia and dysphagia after operations of the cervical spine the airway has to be secured early and according to the local algorithm.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Paul, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ladra, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pillai, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, B. W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spoehr, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Keller, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zarghooni, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-489599
DOI:	10.1007/s00101-011-1914-z
Journal or Publication Title:	Anaesthesist
Volume:	60
Number:	9
Page Range:	S. 845 - 850
Date:	2011
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	0003-2417
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AWAKE FIBEROPTIC INTUBATION; VOCAL CORD PARALYSIS; DIFFICULT-AIRWAY; OBSTRUCTION; MANAGEMENT; FUSION; COMPLICATIONS; DISKECTOMY; GUIDELINES; SURGERY Multiple languages Anesthesiology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48959