[Nasogastric tube syndrome suspected at the end of anesthesia].
The case of a patient who might have developed nasogastric tube syndrome at the end of anesthesia is presented. A 62-year-old woman was scheduled for a general anesthesia with fiberscopic oro-tracheal intubation because of a predicted difficult airway. After the smooth and gentle intubation without any trauma and injury, a nasogastric tube was inserted blindly. At the end of surgery, the anesthesiologists observed the pharyngeal tissue and found significant edema on the epiglottis and arytenoids. Extubation was cancelled and the patient was moved to an intensive care unit for respiratory management. On the next day, fiberscopic observation revealed a complete recovery and the endotracheal tube was removed without any difficulty. We strongly suspected the pharyngeal injury as acute nasogastric tube syndrome and an attention to this rare complication is required by anesthesiologists.
Ohshima
Misako
M
Department of Anesthesia and Resuscitation, University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
Hori
Etsuyo
E
Suzuki
Akira
A
Katoh
Hiromi
H
Itagaki
Taiga
T
Adachi
Yushi
Y
Doi
Matsuyuki
M
Sato
Shigehito
S
D000208:Acute Disease; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007819:Laryngeal Edema / Q000209:etiology*; D008875:Middle Aged; D010614:Pharynx / Q000293:injuries*; D011183:Postoperative Complications; D013577:Syndrome