Tongue bite in a patient with tracheostomy after prone position -A case report-

A 22-year-old man underwent an operation for posterolateral fusion of the lumbar spine at L3-5. He was ventilated via a tracheostomy site in a prone position for 210 minutes. Ventilator function and eyeballs were checked periodically. After changing his position to supine for the wake-up test, it wa...

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Detalles Bibliográficos
Autores principales: Chae, Yun-Jeong, Kim, Jong-Yeop, Yoo, Ji-Young, Choi, Yi-Hwa, Park, Kwan-Sik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110297/
https://www.ncbi.nlm.nih.gov/pubmed/21716567
http://dx.doi.org/10.4097/kjae.2011.60.5.365
Descripción
Sumario:A 22-year-old man underwent an operation for posterolateral fusion of the lumbar spine at L3-5. He was ventilated via a tracheostomy site in a prone position for 210 minutes. Ventilator function and eyeballs were checked periodically. After changing his position to supine for the wake-up test, it was noticed that his tongue was self-inflicted and looked to be cut unless immediate decompression was applied. After several manual attempts to open the mouth failed, anesthesia depth was deepened with thiopental sodium and neuromuscular blocker to decompress and reposition the tongue into the intraoral cavity. Minimal teeth marks and scarring remained after seven months without any complications.

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