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Postextubation Airway Obstruction Due to Adenotonsillar Hypertrophy in a Patient Posted for Distal end Radius Fracture: Anesthetic Challenge

Year: 2025

Type: article

Abstract: It can be challenging to intubate patients with adenotonsillar hypertrophy undergoing general anesthesia for any surgery. In these patients, the preoperative airway examination is essentially unremarkable. We report a case of 15-year-old male patient, diagnosed case of adenotonsillar hypertrophy posted for open reduction internal fixation of distal end radius fracture. Procedure was under general anesthesia. Intraoperative period was uneventful. Postoperatively, after extubation patient desaturated and needed reintubation. The patient was extubated after 20 min in the left lateral position and later shifted to intensive care unit for observation, thereafter the period was uneventful. Upper airway resistance and collapse are not a very well-known complication but its presence may cause of unexpected difficult airway and may lead to distressing symptoms in the postoperative period after general anesthesia and hence can be challenging. Anesthesiologist should be aware of such occurrences and meticulously employ the strategies to prevent this.

Source: Journal of Datta Meghe Institute of Medical Sciences University

DOI: 10.4103/jdmimsu.jdmimsu_254_23

Authors: Heena Dinesh Pahuja, Tilka Vivek Ghate, Shweta Mahesh Patel, Sneha Dnyandeo Shegaokar

Institution: NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411921099

FWCI:

Cites: 5

Cited by:

Related to: 10