[Obstructive laryngeal disease and obstructive sleep apnoea syndrome, a combination with serious peri-operative risk].

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[Obstructive laryngeal disease and obstructive sleep apnoea syndrome, a combination with serious peri-operative risk].

Rev Esp Anestesiol Reanim. 2014 Nov;61(9):505-8

Authors: Ayuso MA, Sánchez-Etayo G, Polanco M, Risco R

Abstract
We present the case of a patient who was diagnosed with chronic bronchitis, obstructive sleep apnoea syndrome, and large Reinke laryngeal oedemas that were removed by transoral laser microsurgery. In the immediate post-operative period acute respiratory insufficiency occurred due to pharyngeal collapse that required emergency re-intubation, after which the patient was transferred to the ICU where mechanical ventilation was given for 18h. Subsequent progress was normal. We describe the combination of various risk-factors related to anaesthetic management and the importance of considering each one of them, especially the preoperative detection of the severity of obstructive sleep apnoea syndrome.

PMID: 24342169 [PubMed - indexed for MEDLINE]

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