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자료유형
학술저널
저자정보
기승희 (Department of Anesthesiology and Pain Medicine Inje University Busan Paik Hospital Inje University College of Medicine Busan Korea) 조승배 (Department of Anesthesiology and Pain Medicine Inje University Busan Paik Hospital Inje University College of Medicine Busan Korea) Park Seongmin (Department of Anesthesiology and Pain Medicine Inje University Busan Paik Hospital Inje University College of Medicine Busan Korea) Lee Jeonghan (Department of Anesthesiology and Pain Medicine Inje University Busan Paik Hospital Inje University College of Medicine Busan Korea)
저널정보
대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.18 No.2
발행연도
2023.4
수록면
204 - 209 (6page)
DOI
10.17085/apm.23002

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Background: Difficult airway occurs due to anatomical abnormalities of the airway that can be predicted through airway assessments; however, abnormalities beyond the vocal cord can be clinically asymptomatic and undetected until intubation failure to advance the endotracheal tube.Case: We present a case of an unanticipated difficult airway in a stuporous 80-year-old female with a recent history of intracerebral hemorrhage and prolonged intubation. She required emergency ventriculo-peritoneal shunt surgery due to the progression of her hydrocephalus. Under anesthesia, facemask ventilation was easy and video laryngoscopy provided a full view of the glottis; however, endotracheal tube (ETT) entry failed. We suspected stenosis beyond the vocal cord, and a smaller diameter ETT was inserted and maintained for airway management during emergency surgery. Postoperative neck computed tomography findings revealed laryngotracheal stenosis (LTS).Conclusions: Anesthesiologists should be aware that LTS may be asymptomatic and consider difficult airway guidelines in patients with history of prolonged endotracheal intubation.

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