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


Oysu Ç. , Demir K.

JOURNAL OF CRANIOFACIAL SURGERY, cilt.22, ss.2419-2421, 2011 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 22 Konu: 6
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1097/scs.0b013e318232a734
  • Dergi Adı: JOURNAL OF CRANIOFACIAL SURGERY
  • Sayfa Sayısı: ss.2419-2421

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.