Abstract
Airway difficulties after complex spine surgeries in prolonged prone position can cause catastrophic complications including severe hypoxia and death. This chapter presents a case study of a patient was a 22-year-old male with severe scoliosis scheduled for a T3-ilium fusion with vertebral column resections. This case discusses the importance of an appropriate extubation strategy in light of the known postoperative complications of prolonged prone positioning. Analgesia was administered using intravenous morphine, titrated to effect. Prone positioning during anesthesia is required to provide operative access for a wide variety of surgical procedures. The leak test and visual inspection of airway swelling are the most common risk assessment tests for extubation. Given the numerous complications unique to patients undergoing complex spine surgeries in the prone position, a systematic approach to extubation should begin as early as possible to optimize safe perioperative care.
| Original language | English (US) |
|---|---|
| Title of host publication | Case Studies in Neuroanesthesia and Neurocritical Care |
| Publisher | Cambridge University Press |
| Pages | 160-162 |
| Number of pages | 3 |
| ISBN (Print) | 9780511997426, 9780521193801 |
| DOIs | |
| State | Published - Jan 1 2011 |
| Externally published | Yes |
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Keywords
- Airway assessment
- Analgesia
- Extubation strategy
- Morphine
- Prolonged prone positioning
- Trachea
ASJC Scopus subject areas
- Medicine(all)
Cite this
Extubating the trachea after prolonged prone surgery. / Tarnal, Vijay; Kriss, Robert Scott.
Case Studies in Neuroanesthesia and Neurocritical Care. Cambridge University Press, 2011. p. 160-162.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Extubating the trachea after prolonged prone surgery
AU - Tarnal, Vijay
AU - Kriss, Robert Scott
PY - 2011/1/1
Y1 - 2011/1/1
N2 - Airway difficulties after complex spine surgeries in prolonged prone position can cause catastrophic complications including severe hypoxia and death. This chapter presents a case study of a patient was a 22-year-old male with severe scoliosis scheduled for a T3-ilium fusion with vertebral column resections. This case discusses the importance of an appropriate extubation strategy in light of the known postoperative complications of prolonged prone positioning. Analgesia was administered using intravenous morphine, titrated to effect. Prone positioning during anesthesia is required to provide operative access for a wide variety of surgical procedures. The leak test and visual inspection of airway swelling are the most common risk assessment tests for extubation. Given the numerous complications unique to patients undergoing complex spine surgeries in the prone position, a systematic approach to extubation should begin as early as possible to optimize safe perioperative care.
AB - Airway difficulties after complex spine surgeries in prolonged prone position can cause catastrophic complications including severe hypoxia and death. This chapter presents a case study of a patient was a 22-year-old male with severe scoliosis scheduled for a T3-ilium fusion with vertebral column resections. This case discusses the importance of an appropriate extubation strategy in light of the known postoperative complications of prolonged prone positioning. Analgesia was administered using intravenous morphine, titrated to effect. Prone positioning during anesthesia is required to provide operative access for a wide variety of surgical procedures. The leak test and visual inspection of airway swelling are the most common risk assessment tests for extubation. Given the numerous complications unique to patients undergoing complex spine surgeries in the prone position, a systematic approach to extubation should begin as early as possible to optimize safe perioperative care.
KW - Airway assessment
KW - Analgesia
KW - Extubation strategy
KW - Morphine
KW - Prolonged prone positioning
KW - Trachea
UR - http://www.scopus.com/inward/record.url?scp=84928937370&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928937370&partnerID=8YFLogxK
U2 - 10.1017/CBO9780511997426.051
DO - 10.1017/CBO9780511997426.051
M3 - Chapter
SN - 9780511997426
SN - 9780521193801
SP - 160
EP - 162
BT - Case Studies in Neuroanesthesia and Neurocritical Care
PB - Cambridge University Press
ER -