• A & A case reports · Aug 2014

    Mucosal Erosion of the Cricoid Cartilage After the Use of an i-Gel Supraglottic Airway Device in a Patient with Diffuse Idiopathic Skeletal Hyperostosis.

    • Andreas C Schaer, Marius J B Keel, Patrick Dubach, Robert Greif, Cédric Luyet, and Lorenz Theiler.
    • From the Departments of *Anesthesiology and Pain Therapy, †Orthopedic and Trauma Surgery, and ‡Otorhinolaryngology, Head and Neck Surgery, Bern University Hospital and University of Bern, Bern, Switzerland.
    • A A Case Rep. 2014 Aug 15;3(4):45-7.

    AbstractAfter standard hip arthroplasty, an 82-year-old patient with previously undiagnosed diffuse idiopathic skeletal hyperostosis of the cervical spine experienced life-threatening side effects after use of a supraglottic airway device (i-gel). Extensive mucosal erosion and denudation of the cricoid cartilage caused postoperative supraglottic swelling and prolonged respiratory failure requiring tracheostomy. In this case report, we highlight the importance of evaluating risk factors for failure of supraglottic airway devices.

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