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Case Reports
Intracranial placement of a nasotracheal tube after transnasal trans-sphenoidal surgery.
- M Paul, M Dueck, S Kampe, F Petzke, and A Ladra.
- Department of Anaesthesiology, University of Cologne, Joseph-Stelzmann-Str 9, D-50931 Cologne, Germany. m.paul@uni-koeln.de
- Br J Anaesth. 2003 Oct 1; 91 (4): 601-4.
AbstractIntracranial misplacement of a tracheal tube during attempted nasotracheal intubation is a rare, usually lethal complication. Such incidents are associated with fractures of the face and base of the skull. We report inadvertent intracranial placement of a nasotracheal tube in a patient who had 2 weeks previously undergone transnasal trans-sphenoidal surgery for a pituitary tumour. One should be aware that transnasal trans-sphenoidal surgery leaves a bony defect in the skull, which is susceptible to perforation by nasally introduced tubes.
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