title: [Airway problem during the operation with beach-chair position: a case of arytenoid dislocation and the relationship between intra-cuff pressure of endotrachial tube and the neck position].
abstract: Shoulder arthroscopy has been performed in beach-chair position. In our hospital, the postoperative complications of the airway were reported in the patients who had undergone the operation in this position (hoarseness: 4 cases, paralysis of recurrent nerve: 2 cases, arytenoids dislocation: 1 case). We assumed that the neck bending during operation causes these complications. We investigated the relationship between the neck position and the intra-cuff pressure of endotrachial tube. The results showed that the neck bending significantly increases the intra-cuff pressure of endotrachial tube. Therefore, we conclude that it is necessary to pay attention to neck position to avoid postoperative complications of the airway in the patients who have the operation in beach-chair position.
authors.affiliation: Department of Anesthesiology, University of Occupational and Environmental Health, Kitakyushu 807-8555.
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Habe
authors.forename: Takashi
authors.initials: T
authors.lastname: Kawasaki
authors.forename: Takafumi
authors.initials: T
authors.lastname: Horishita
authors.forename: Takeyoshi
authors.initials: T
authors.lastname: Sata
mesh_terms: D001182:Arthroscopy; D001193:Arytenoid Cartilage; D005260:Female; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007432:Intraoperative Period; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D004204:Joint Dislocations / Q000209:etiology*; D008297:Male; D009333:Neck / Q000502:physiology*; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture / Q000502:physiology*; D011312:Pressure / Q000009:adverse effects