[Minitracheotomy in treating upper airway obstruction after anterior cervical fusion].
Respiratory disturbance occurs sometimes after anterior cervical fusion. This is often a result of upper airway obstruction due to prevertebral soft tissue swelling. Therefore we used cricothyrotomy tubes (Mini-Trach) in two patients with postoperative upper airway obstruction and performed assist-ventilation via the tubes. After starting to ventilate through Mini-Trach II, respiratory disturbance disappeared soon and respiration improved markedly. Mini-Trach II is an effective device to use in patients with post-operative respiratory disturbance due to prevertebral soft tissue swelling.
Arimune
Mutsuaki
M
Department of Anesthesiology, Osaka Rousai Hospital, Sakai 591-8025.
Sanjou
Hiroyasu
H
Yamada
Tokuhiro
T
Yabe
Mitsuhide
M
Miyake
Hitoshi
H
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D002574:Cervical Vertebrae / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D013123:Spinal Fusion; D014140:Tracheotomy / Q000295:instrumentation*