Document Detail


Case report: intracranial placement of a nasotracheal tube in a patient with Goldenhar syndrome associated with cribriform plate agenesis.
MedLine Citation:
PMID:  20966441     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of inadvertent intracranial placement of a nasotracheal tube in a patient with an undiagnosed major congenital cranial anomaly (a variant of Goldenhar syndrome, which included absence of the cribriform plate). We believe that this is the first reported case in which this complication arose as a result of a congenital abnormality rather than traumatic or iatrogenic disruption of the skull base. We conclude that patients with known craniofacial abnormalities or associated syndromes scheduled for procedures involving planned nasotracheal intubation or nasogastric tube placement should undergo preoperative cranial imaging studies to verify an intact skull base.
Authors:
Frederick Allen; James Riopelle; Ashish Sinha
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-10-21
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  112     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-21     Completed Date:  2011-01-20     Revised Date:  2011-10-03    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  198-200     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, USA. fredallenmd@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Ethmoid Bone / abnormalities*,  radiography*
Fatal Outcome
Female
Goldenhar Syndrome / radiography*,  surgery
Humans
Intubation, Intratracheal / adverse effects,  methods*
Comments/Corrections
Comment In:
Anesth Analg. 2011 Sep;113(3):666; author reply 666   [PMID:  21862606 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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