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A Severe Complication After Laser-Induced Damage to a Transtracheal Catheter During Endoscopic Laryngeal Microsurgery
Author(s) -
Bettina Leemann,
Thomas Heidegger,
R. Grossenbacher,
Thomas W. Schnider,
Hans J. Gerig
Publication year - 2004
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/01.ane.0000117144.16826.61
Subject(s) - medicine , subcutaneous emphysema , pneumothorax , surgery , jet ventilation , complication , percutaneous , catheter , laser surgery , airway , anesthesia , laser , physics , optics
Subcutaneous emphysema and pneumothorax is a rare and severe complication of percutaneous transtracheal jet ventilation, usually caused by obstruction of the upper airway or displacement of the tracheal catheter. Nevertheless, it is our preferred technique for endoscopic laryngeal laser surgery. We report a patient with acute subcutaneous emphysema and pneumothorax during laser surgery, caused by unobserved laser damage and discuss the associated risk factors.

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