Unexpected tracheal narrowing during general anesthesia in the prone position of Duchenne muscular dystrophy patient -A report of two cases

Dong Kyu Lee, Byung Gun Lim, Il Ok Lee, Hye Ran Oh, Sang Ho Lim, Mi Kyoung Lee

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Unexpected tracheal narrowing was observed in a patient with Duchenne muscular dystrophy during a corrective operation for thoracolumbar scoliosis. As the operating time progressed, peak airway pressure and end-tidal CO2 increased gradually in the prone position. We found a floppy portion of the trachea using fiberoptic bronchoscopy (FB) in the prone position. We advanced a wire-reinforced tube toward the carina beyond the lesion. This allowed correction of the ventilatory abnormalities. We encountered another patient scheduled for the same operation. We performed FB in advance before the position change and observed a narrowed portion of trachea. We advanced the tracheal tube under FB beyond the pathologic portion and then moved the patient into the prone position. The operation was done successfully without any problems.

    Original languageEnglish
    Pages (from-to)456-459
    Number of pages4
    JournalKorean journal of anesthesiology
    Volume64
    Issue number5
    DOIs
    Publication statusPublished - 2013 May

    Keywords

    • Duchenne muscular dystrophy
    • Prone position
    • Tracheal narrowing

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine

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