Severe unilateral bronchospasm mimicking inadvertent endobronchial intubation: a complication of the use of a topical lidocaine Laryngojet injector.
A healthy young woman is described in whom the left chest was unable to be inflated after intubation. The differential diagnosis and management are discussed. Severe unilateral bronchospasm was probably caused by topical lidocaine injected at the vocal cords and, inadvertently, into the left main bronchus with a Laryngojet device.
Farmery
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AD
Nuffield Department of Anaesthetics, University of Oxford, Radcliffe Infirmary, UK.
D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D001980:Bronchi; D001986:Bronchial Spasm / Q000139:chemically induced / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008012:Lidocaine / Q000008:administration & dosage; D013594:Syringes / Q000009:adverse effects*
D000779:Anesthetics, Local; D008012:Lidocaine