RT Book, Section
A1 Law, J. Adam
A2 Hung, Orlando
A2 Murphy, Michael F.
SR Print(0)
ID 55872864
T1 Chapter 55. Management of the Patient with a Neck Hematoma
T2 Management of the Difficult and Failed Airway, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162344-5
LK accessanesthesiology.mhmedical.com/content.aspx?aid=55872864
RD 2024/04/19
AB A  69-year-old  man  has  been  in  the  post-anesthetic  recovery  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  become  symptomatically  short  of  breath.  Neurosurgery  has  booked  him  to  return  to  the  operating  room  (OR)  for  wound  exploration  and  evacuation  of  hematoma.  Preoperatively,  he  was  otherwise  healthy,  taking  no  medications,  and  was  noted  to  have  normal-looking  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  #3  blade,  and  the  trachea  was  easily  intubated  with  an  8.5-mm  internal  diameter  (ID)  endotracheal  tube  (ETT).