Document Detail

Uvular edema secondary to snoring under deep sedation.
MedLine Citation:
PMID:  16722279     Owner:  NLM     Status:  MEDLINE    
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.
Robert J Miller; Mark A Gerhardt
Related Documents :
25118309 - A taxonomy for mechanical ventilation: 10 fundamental maxims.
7725879 - Haemodynamic effects of thoracic epidural anaesthesia during proximal aortic cross-clam...
15815449 - Electroencephalogram, cerebral metabolic, and vascular responses to propofol anesthesia...
23044739 - A systematic technical review of the systems for the continuous positive airway pressure.
8329259 - Cardiovascular effects of i.v. induction in children: comparison between propofol and t...
3976339 - Left ventricular function during anaesthesia induction and sternotomy in patients with ...
21430319 - High pressure raman scattering of silicon nanowires.
9839889 - Pituitary-adrenocortical effects of methoxamine infusion on halothane anaesthetised pon...
2912189 - Relation between phosphate metabolites and oxygen consumption of heart in vivo.
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    
Department of Surgery, Wright State University, Dayton, Ohio, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anesthetics, Dissociative / administration & dosage
Anesthetics, Intravenous / administration & dosage
Brachial Plexus
Edema / etiology*
Fentanyl / administration & dosage
Hypnotics and Sedatives / administration & dosage*
Ketamine / administration & dosage
Midazolam / administration & dosage
Middle Aged
Nerve Block
Postoperative Complications*
Propofol / administration & dosage
Sleep Apnea, Obstructive / complications
Snoring / complications*
Tendons / surgery
Uvula / pathology*
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

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

Previous Document:  Elevation of a periosteal flap with irrigation of the bone for minor oral surgery reduces the durati...
Next Document:  Anesthetic management of a patient with Sturge-Weber syndrome undergoing oral surgery.