Airway Obstruction following Carotid Endarterectomy

Ok, Kwok; Ko, Sun; Ak, Ahchong; Ck, Chan

doi:10.1177/0310057x0403200615

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Preoperative irradiation to the neck lesion would increase the risk of airway obstruction [14, 15], and the intraoperative prone position with the cervical spine in the flexed position could cause angioedema due to jugular venous congestion. Nömayr et al [16] investigated the MR imaging appearance of radiation-induced changes of normal cervical tissues among patients with primary neck tumor, and they found that oedema was the main radiation-induced effect.…”

Section: Discussionmentioning

confidence: 99%

Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

Morita

Nobuta

Naruse

et al. 2011

Advances in Orthopedics

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The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastatic spinal tumor of C2. Occipitocervical fusion following removal of the posterior arch of C1 and laminectomy of C2 via the single posterior approach was performed 2 weeks after radiation therapy. After the surgery, life-threatening airway obstruction due to pharyngeal oedema occurred immediately after extubation that required emergency tracheostomy. The airway obstruction did not improve well during the patient's postoperative course. Once pharyngeal oedema occurs in patients with metastatic tumor of upper cervical spine who undergo posterior cervical spine surgery following radiation therapy to the neck, the pharyngeal oedema may be constant for a long period of time.

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Section: Discussionmentioning

confidence: 99%

Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

Morita

Nobuta

Naruse

et al. 2011

Advances in Orthopedics

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“…Mechanical airway obstruction due to tissue edema or hematoma is a well-recognized surgical complication after various neck surgeries including thyroidectomy [ 138 ] and CEA [ 139 , 140 ]. Particularly during CEA, surgical procedures including dissection, traction, and retraction can injure the facial nerve, hypoglossal nerve, the vagus nerve including its branches (recurrent and superior laryngeal nerves), or glossopharyngeal nerve within the operative field [ 141 – 144 ].…”

Section: Safety Issues Related To Cervical Plexus Blocksmentioning

confidence: 99%

Cervical plexus block

Kim

Bang

et al. 2018

Korean J Anesthesiol

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Cervical plexus blocks (CPBs) have been used in various head and neck surgeries to provide adequate anesthesia and/or analgesia; however, the block is performed in a narrow space in the region of the neck that contains many sensitive structures, multiple fascial layers, and complicated innervation. Since the intermediate CPB was introduced in addition to superficial and deep CPBs in 2004, there has been some confusion regarding the nomenclature and definition of CPBs, particularly the intermediate CPB. Additionally, as the role of ultrasound in the head and neck region has expanded, CPBs can be performed more safely and accurately under ultrasound guidance. In this review, the authors will describe the methods, including ultrasound-guided techniques, and clinical applications of conventional deep and superficial CPBs; in addition, the authors will discuss the controversial issues regarding intermediate CPBs, including nomenclature and associated potential adverse effects that may often be neglected, focusing on the anatomy of the cervical fascial layers and cervical plexus. Finally, the authors will attempt to refine the classification of CPB methods based on the target compartments, which can be easily identified under ultrasound guidance, with consideration of the effects of each method of CPB.

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“…Nevertheless, some authors disagreed and stated that the trachea was rigid and diffi cult to compress. They reported that pharyngolaryngeal edema secondary to venous and lymphatic obstruction by hematoma was the mechanism of airway obstruction [5,[9][10][11]. In our case, the vocal cords could not be visualized and pha- ryngeal tissues were edematous at laryngoscopy.…”

Section: Discussionmentioning

confidence: 54%

Acute Airway Obstruction in a Uremic Patient After Undergoing Unsuccessful Bilateral Attempt of Permcath Catheterization

Wang

2011

J Med Cases

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We report a case with a history of HIV infection and uremia who developed a prominent neck hematoma and sudden airway obstruction resulting in sudden cardiovascular collapse after failed bilateral attempted subclavian Permcath implantation for hemodialysis. The patient had a history of twice previous Permcath malfunction resolved by urokinase infusion. Postoperatively, venography revealed bilateral central vein stenosis. This report demonstrates that preoperative venography is important to assess the possibility of central vein stenosis for this type of patient. We also suppose that bilateral rather than unilateral neck hematoma is an important factor for the development of acute airway obstruction in this patient.

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Airway Obstruction following Carotid Endarterectomy

Cited by 8 publications

References 8 publications

Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

Cervical plexus block

Acute Airway Obstruction in a Uremic Patient After Undergoing Unsuccessful Bilateral Attempt of Permcath Catheterization

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