Crisis Management of Accidental Extubation in a Prone-Positioned Patient with Klippel-Feil Syndrome.
We present the case of an accidental extubation in a prone-positioned patient with a challenging airway because of Klippel-Feil syndrome and previous cervical spine fusions. The surgical procedure was well underway when this occurred, which added substantially to the difficulties produced by this event. We herein highlight the corrective steps we took in our case. We also recommend the need for a comprehensive preoperative briefing with all operating room personnel together with an action plan for how to prevent this particular scenario.
From the Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arizona.
Matthew
M
Spond
Tyler
T
Burns
Thea
T
Rosenbaum
Kristen
K
Lienhart
D000328:Adult; D060666:Airway Extubation / Q000009:adverse effects*; D000768:Anesthesia, General / Q000009:adverse effects; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007714:Klippel-Feil Syndrome / Q000175:diagnosis / Q000601:surgery*; D056888:Patient Positioning / Q000009:adverse effects*; D016684:Prone Position