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Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia()

BACKGROUND: General anesthesia is a safe, frequent procedure in clinical practice. Although it is very unusual in procedures not related to head and or neck surgery, vocal cord paralysis is a serious and important complication. Incidence has been associated with patient age and comorbidities, as wel...

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Detalles Bibliográficos
Autores principales: Hurtado Nazal, Claudia, Araneda Vilches, Andrea, Vergara Marín, Carolina, García Contreras, Karen, Napolitano Valenzuela, Carla, Badía Ventí, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391721/
https://www.ncbi.nlm.nih.gov/pubmed/29628155
http://dx.doi.org/10.1016/j.bjane.2017.12.007
Descripción
Sumario:BACKGROUND: General anesthesia is a safe, frequent procedure in clinical practice. Although it is very unusual in procedures not related to head and or neck surgery, vocal cord paralysis is a serious and important complication. Incidence has been associated with patient age and comorbidities, as well as the position of the endotracheal tube and cuff. It can become a dangerous scenario because it predisposes aspiration. OBJECTIVES: To present a case and analyze the risk factors associated with increased risk of vocal cord paralysis described in the literature. CASE REPORT: 53 year-old diabetic man, who developed hoarseness in the postoperative period after receiving general anesthesia for an elective abdominal laparoscopic surgery. Otolaryngological evaluation showed left vocal cord paralysis. CONCLUSIONS: Vocal cord paralysis can be a serious complication of general anesthesia because of important voice dysfunction and risk of aspiration. The management is not yet fully established, so prevention and early diagnosis is essential.