Life-Threatening Complication of Recurrent Laryngeal Nerve Monitoring With EMG Reinforced Silicone ETT

Oysu Ç., Demir K.

JOURNAL OF CRANIOFACIAL SURGERY, cilt.22, sa.6, ss.2419-2421, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 6
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1097/scs.0b013e318232a734
  • Dergi Adı: JOURNAL OF CRANIOFACIAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.2419-2421
  • Anahtar Kelimeler: Complication, recurrent laryngeal nerve monitoring, endotracheal tube
  • Marmara Üniversitesi Adresli: Hayır

Özet

We present 2 cases with complication of herniation of a specially designed endotracheal tube (ETT) cuff used for laryngeal nerve monitoring during thyroid surgery. Abrupt and total blockage of ventilation has occurred at 35th and 40th minutes of general anesthesia. In an animal trachea, we showed that overinflated cuff may herniate and block ETT tip easily. A 25-mm upward movement of the ETT is found as a contributing factor to cuff herniation.