Document Detail


Tongue engorgement with prolonged use of the esophageal-tracheal Combitube.
MedLine Citation:
PMID:  15459615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of massive tongue engorgement associated with placement of an esophageal-tracheal twin-lumen airway device (Combitube) in a morbidly obese patient. Approximately 4 hours after atraumatic placement of the Combitube, tongue swelling occurred. An emergency tracheostomy was needed for airway management before removal of the Combitube. Ischemia-reperfusion injury or compression of glossal blood vessels, specifically lingual veins, was the most likely cause for the patient's tongue engorgement. An exhaustive search for other causes revealed nothing. Prolonged use of the Combitube may incur greater risk of airway complications such as tongue engorgement.
Authors:
Brian P McGlinch; David P Martin; Gerald W Volcheck; Stephen W Carmichael
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  44     ISSN:  1097-6760     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-01     Completed Date:  2005-03-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  320-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Esophagus*
Female
Humans
Intubation / adverse effects*,  instrumentation
Intubation, Intratracheal / adverse effects*
Tongue / blood supply
Tongue Diseases / etiology*
Comments/Corrections
Comment In:
Ann Emerg Med. 2005 May;45(5):565-6; author reply 566   [PMID:  15855963 ]

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


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