• J Clin Anesth · Jun 1998

    Case Reports

    Mucoid impaction following nasal intubation in a child with an upper respiratory infection.

    • S P Cohen and P L Anderson.
    • Anesthesia and Operative Service, 121st General Hospital, Seoul, Korea.
    • J Clin Anesth. 1998 Jun 1; 10 (4): 327-30.

    AbstractWe describe a case of mucoid impaction following nasotracheal intubation in a child with an upper respiratory infection that was successfully treated with a fiberoptic bronchoscope too large to pass through the endotracheal tube lumen. To the best of our knowledge, it is the first report in the anesthesia literature in which the placement of a nasal tracheal tube is implicated as the cause of the mucous obstruction. The physiologic changes that occur with anesthesia and that place patients at increased risk for this phenomenon, as well as the differential diagnosis, treatment, and prevention of this entity, are discussed.

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