RT Book, Section
A1 Law, J. Adam
A1 Turney, Kitt
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146619857
T1 Airway Management of the Patient with a Neck Hematoma
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146619857
RD 2024/10/13
AB A  60-year-old  male  has  been  in  the  post-anesthetic  care  unit  (PACU)  for  6  hours  with  a  slowly  expanding  neck  hematoma  following  an  uneventful  left  carotid  endarterectomy  under  general  anesthesia.  Over  the  last  45  minutes  he  has  started  to  complain  of  difficulty  with  his  breathing.  Neurosurgery  has  booked  him  to  return  to  the  operating  room  (OR)  for  wound  exploration  and  evacuation  of  hematoma.  He  is  a  smoker,  takes  medications  for  hypertension,  hyperlipidemia,  and  type  2  diabetes  mellitus,  and  was  noted  preoperatively  to  have  reassuring  airway  anatomy.  Post-induction  at  the  original  surgery,  he  was  documented  to  have  been  easy  to  ventilate  using  a  bag-mask,  presented  a  Cormack–Lehane  (C/L)1  Grade  1  view  at  direct  laryngoscopy  using  a  Macintosh  #4  blade,  and  the  trachea  was  easily  intubated  with  an  8.0-mm  internal  diameter  (ID)  endotracheal  tube  (ETT).