Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2007-10-29
pubmed:abstractText
A 66-year-old man was scheduled for endoscopic right uretherectomy under general anesthesia. On the pre-anesthesia examination, the patient had no respiratory symptoms. An informed consent for endotracheal intubation by a trainee for emergency medical technician was obtained on the examination. General anesthesia was induced with propofol, ketamine, and fentanyl. The trainee ventilated the patient easily with facemask and succinylcholine was administered. On the attempt of endotracheal intubation by the trainee with video-laryngoscope (X-LITE VIDE), a huge epiglottic cyst was observed. Tracheal intubation was done safely by the responsible anesthesiologist. Laryngofiberscopic finding showed no respiratory sequlae such as bleeding from the cyst. Although the patient had been informed about the cyst before the surgery, he did not disclose it as he did not have any symptom from the cyst. This case suggest that unpredictable airway problem could occur in any anesthetic practice. The video-laryngoscope was useful in such a case to prevent fatal complication developing on endotracheal intubation by a trainee, and also it is a good tool to show the trainee how severe the cyst related-airway trouble would be.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0021-4892
pubmed:author
pubmed:issnType
Print
pubmed:volume
56
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1217-9
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
[Case of unexpected epiglottic cyst found during endotracheal intubation by an emergency medical technician trainee].
pubmed:affiliation
Department of Anesthesiology, University of Hirosaki School of Medicine, Hirosaki 036-8563.
pubmed:publicationType
Journal Article, English Abstract, Case Reports