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[Tapia's syndrome : Rare complication of securing airways].
Anaesthesist. 2015 Feb; 64(2):122-7.A

Abstract

Nerve injuries are a rare complication of airway management. Two cases of Tapia's syndrome following orotracheal intubation are reported. Case 1: a 23-year-old male patient underwent an otorhinolaryngology (ENT) surgical procedure with orotracheal intubation. A left-sided Tapia's syndrome was verified 3 days later. Case 2: a 67-year-old patient developed a right-sided Tapia's syndrome following an arthroscopic intervention of the left shoulder in the beach-chair position. In both cases there was permanent damage of both nerves. On the basis of a comprehensive literature survey the reasons for an intubation-induced Tapia's syndrome are discussed. In order to avoid a glottis or immediate subglottic position it is recommended to check and to document the position of the cuff (depth of intubation) and the measured cuff pressure immediately after intubation. It also seems to be advisable to document an overstretched head position if required for the operation.

Authors+Show Affiliations

-, Ernst-Udet-Str. 9, 85764, Oberschleiβheim, Deutschland, abc.gbr@t-online.de.

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

25523320

Citation

Brandt, L. "[Tapia's Syndrome : Rare Complication of Securing Airways]." Der Anaesthesist, vol. 64, no. 2, 2015, pp. 122-7.
Brandt L. [Tapia's syndrome : Rare complication of securing airways]. Anaesthesist. 2015;64(2):122-7.
Brandt, L. (2015). [Tapia's syndrome : Rare complication of securing airways]. Der Anaesthesist, 64(2), 122-7. https://doi.org/10.1007/s00101-014-2397-5
Brandt L. [Tapia's Syndrome : Rare Complication of Securing Airways]. Anaesthesist. 2015;64(2):122-7. PubMed PMID: 25523320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Tapia's syndrome : Rare complication of securing airways]. A1 - Brandt,L, Y1 - 2014/12/20/ PY - 2014/09/09/received PY - 2014/10/09/accepted PY - 2014/10/09/revised PY - 2014/12/20/entrez PY - 2014/12/20/pubmed PY - 2015/11/10/medline SP - 122 EP - 7 JF - Der Anaesthesist JO - Anaesthesist VL - 64 IS - 2 N2 - Nerve injuries are a rare complication of airway management. Two cases of Tapia's syndrome following orotracheal intubation are reported. Case 1: a 23-year-old male patient underwent an otorhinolaryngology (ENT) surgical procedure with orotracheal intubation. A left-sided Tapia's syndrome was verified 3 days later. Case 2: a 67-year-old patient developed a right-sided Tapia's syndrome following an arthroscopic intervention of the left shoulder in the beach-chair position. In both cases there was permanent damage of both nerves. On the basis of a comprehensive literature survey the reasons for an intubation-induced Tapia's syndrome are discussed. In order to avoid a glottis or immediate subglottic position it is recommended to check and to document the position of the cuff (depth of intubation) and the measured cuff pressure immediately after intubation. It also seems to be advisable to document an overstretched head position if required for the operation. SN - 1432-055X UR - https://www.unboundmedicine.com/medline/citation/25523320/[Tapia's_syndrome_:_Rare_complication_of_securing_airways]_ L2 - https://dx.doi.org/10.1007/s00101-014-2397-5 DB - PRIME DP - Unbound Medicine ER -