• A&A practice · Feb 2024

    Case Reports

    Acute Intraoperative Tympanic Membrane Rupture in Patient Anesthetized With Desflurane Without Nitrous Oxide: A Case Report.

    • Dylan J Cincotta and Jacob B Brandenburg.
    • From the University of Utah Department of Anesthesiology, Salt Lake City, UT.
    • A A Pract. 2024 Feb 1; 18 (2): e01746e01746.

    AbstractWe report a case of acute intraoperative tympanic membrane (TM) rupture in a patient anesthetized with desflurane without N2O. The patient was undergoing endoscopic retrograde cholangiopancreatography (ERCP) to treat ascending cholangitis. TM rupture is known to occur with N2O but has not been reported in the literature with the use of inhaled volatile anesthetics without N2O. We suspect that several factors contributed to this complication, including prone positioning, a remote history of ear trauma, and the selection of desflurane as the maintenance anesthetic as opposed to a vapor with a higher blood-gas partition coefficient.Copyright © 2024 International Anesthesia Research Society.

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