Difficult ventilation from increased abdominal pressure.
Airway management is one of the most important responsibilities of every anesthesiologist. A problematic situation arises when a patient is intubated correctly but not being ventilated. A case of a 4-year-old child who was involved in a car accident, presented for an exploratory laparotomy. Although she was successfully intubated, she could not be ventilated. The situation only improved after a large volume of fluid (urine) was drained from the abdomen.
Ghaffari
Sina
S
Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran. sighafari@sums.ac.ir
D000005:Abdomen / Q000503:physiopathology*; D000063:Accidents, Traffic; D002675:Child, Preschool; D003490:Cyanosis / Q000209:etiology / Q000628:therapy; D004322:Drainage / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D010100:Oxygen / Q000097:blood; D011312:Pressure / Q000009:adverse effects; D012421:Rupture; D013396:Suction / Q000379:methods; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery*; D014556:Urine
D010100:Oxygen