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Mediastinitis and sepsis syndrome following intubation
Author(s) -
GAMLIN F.,
CALDICOTT L. D.,
SHAH M. V.
Publication year - 1994
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1994.tb04266.x
Subject(s) - medicine , mediastinitis , tracheal intubation , intubation , stylet , sepsis , perforation , surgery , shock (circulatory) , anesthesia , septic shock , radiology , punching , materials science , metallurgy
Summary A patient developed sepsis syndrome with shock 7 h after an anaesthetic for a shoulder replacement. Tracheal intubation had been difficult and required the use of a stylet and gum‐elastic bougies. A gastrografin swallow subsequently demonstrated an oesophageal perforation and mediastinitis was diagnosed at surgical exploration. She survived after a prolonged period of intensive care treatment.