Document Detail


Uvular edema secondary to snoring under deep sedation.
MedLine Citation:
PMID:  16722279     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 57-year-old male with a documented history of obstructive sleep apnea with loud snoring received deep intravenous sedation with midazolam, fentanyl, ketamine, and propofol infusion and a left interscalene brachial plexus nerve block for a left biceps tendon repair. Loud snoring during the case was noted. On the second postoperative day, he was observed to have significant uvular edema. After due consideration of the various elements in the differential diagnosis, it was concluded that negative pressure trauma from deep snoring during the sedation was the most likely etiology.
Authors:
Robert J Miller; Mark A Gerhardt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia progress     Volume:  53     ISSN:  0003-3006     ISO Abbreviation:  Anesth Prog     Publication Date:  2006  
Date Detail:
Created Date:  2006-05-25     Completed Date:  2006-06-30     Revised Date:  2010-09-16    
Medline Journal Info:
Nlm Unique ID:  0043533     Medline TA:  Anesth Prog     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-6     Citation Subset:  D    
Affiliation:
Department of Surgery, Wright State University, Dayton, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Anesthetics, Dissociative / administration & dosage
Anesthetics, Intravenous / administration & dosage
Arm
Brachial Plexus
Edema / etiology*
Fentanyl / administration & dosage
Humans
Hypnotics and Sedatives / administration & dosage*
Ketamine / administration & dosage
Male
Midazolam / administration & dosage
Middle Aged
Nerve Block
Postoperative Complications*
Propofol / administration & dosage
Sleep Apnea, Obstructive / complications
Snoring / complications*
Tendons / surgery
Uvula / pathology*
Chemical
Reg. No./Substance:
0/Anesthetics, Dissociative; 0/Anesthetics, Intravenous; 0/Hypnotics and Sedatives; 2078-54-8/Propofol; 437-38-7/Fentanyl; 59467-70-8/Midazolam; 6740-88-1/Ketamine
Comments/Corrections

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


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