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British Journal of Anaesthesia, 1989, Vol. 63, No. 5 606-608
© 1989 The Board of Management and Trustees of the British Journal of Anaesthesia

other

AN UNUSUAL CAUSE OF STRIDOR FOLLOWING ANAESTHESIA REQUIRING TRACHEOSTOMY

M. G. ABDEL-SALAM, F.F.A.R.C.S.*, D. E. PHILLIPS, F.R.C.S. and S. M. MOSTAFA, F.F.A.R.C.S.

*Royal Liverpool Hospital Prescot Street Liverpool L7 8XP

Address for Correspondence:Department of Anaesthesia, University of Liverpool, Royal Liverpool Hospital, Prescot Street, Liverpool L7 8XP.

A 75-year-old woman underwent panendoscopy and excision of a neck "lump". After antagonism of residual neuromuscular block and extubation of the trachea, she developed recurrent upper airway obstruction and stridor, necessitating a permanent tracheostomy. The possibility of vagal nerve involvement or injury should always be considered during excision of neck lumps. Preoperative indirect, atraumatic laryngoscopy by experienced surgeons is essential, as are tracheal intubation and vigilant postoperative observation.


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