Unsuspected tracheal web inhibits endotracheal intubation: report of a case

Shinichi Yamamoto; Kenji Tetsuka; Yukio Sato; Shunsuke Endo

doi:10.1007/s00540-009-0844-2

Unsuspected tracheal web inhibits endotracheal intubation: report of a case

J Anesth. 2010 Feb;24(1):132-3. doi: 10.1007/s00540-009-0844-2. Epub 2010 Jan 6.

Authors

Shinichi Yamamoto¹, Kenji Tetsuka, Yukio Sato, Shunsuke Endo

Affiliation

¹ Department of General Thoracic Surgery, Utsunomiya Social Insurance Hospital, 11-17 Minamitakasagotyo, Utsunomiya, Tochigi, 321-0143, Japan. tcvyamap@jichi.ac.jp

PMID: 20052498
DOI: 10.1007/s00540-009-0844-2

Abstract

A 66-year-old woman was scheduled for resection of a recurrent brain astrocytoma. During anesthesia induction, endotracheal intubation became impossible. Urgent bronchoscopy under laryngeal mask ventilation visualized a subglottic web 1 cm below the vocal cords. After bronchoscopic ablation with argon plasma coagulation, the airway intubation was successful.

Publication types

Case Reports

MeSH terms

Aged
Astrocytoma / complications
Astrocytoma / surgery
Brain Neoplasms / complications
Brain Neoplasms / surgery
Bronchoscopy
Female
Humans
Intraoperative Complications*
Intubation, Intratracheal*
Lasers, Gas / therapeutic use
Neoplasm Recurrence, Local / complications
Neoplasm Recurrence, Local / surgery
Reoperation
Trachea / pathology*
Trachea / surgery
Tracheal Stenosis / complications
Tracheal Stenosis / diagnosis*
Tracheal Stenosis / surgery
Video-Assisted Surgery / instrumentation