Mediastinitis and sepsis syndrome following intubation.
A patient developed sepsis syndrome with shock 7 h after an anaesthetic for a shoulder replacement. Tracheal intubation had been difficult and required the use of a stylet and gum-elastic bougies. A gastrografin swallow subsequently demonstrated an oesophageal perforation and mediastinitis was diagnosed at surgical exploration. She survived after a prolonged period of intensive care treatment.
Gamlin
F
F
Department of Anaesthesia, Leeds General Infirmary.
Caldicott
L D
LD
Shah
M V
MV
D000368:Aged; D000769:Anesthesia, Inhalation; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000209:etiology*; D008482:Mediastinum / Q000000981:diagnostic imaging; D011859:Radiography; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology*