[A case of airway obstruction after posterior occipito-cervical fusion].
A 62-year-old female with rheumatoid arthritis underwent posterior occipito-cervical fusion. Although the operation was successfully performed, airway obstruction developed immediately after the extubation. We succeed in fiberoptic intubation. We consider that airway obstruction was caused by the preexisting reduction of the pharyngeal space and the occipito-cervical fusion malalignment. On the extubation after occipito-cervical fusion, we should always consider the possibility of re-intubation and its difficulty.
Ichinose
Keisuke
K
Department of Anesthesiology, Kumamoto University School of Medicine, Kumamoto 860-8556.
Kozuma
Seiji
S
Fukuyama
Shin
S
Goto
Sinichi
S
Nagata
Chiyoko
C
Yanagi
Fumiharu
F
D000402:Airway Obstruction / Q000209:etiology*; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009777:Occipital Bone / Q000601:surgery; D011183:Postoperative Complications; D013123:Spinal Fusion / Q000009:adverse effects*