Nasal fracture repair with occult pharyngeal thrombus, LMA anesthesia, and deep awakening: A risk for pulmonary aspiration and respiratory distress

B. P. Caughlin, S. Samra*, J. Maddalozzo

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Importance Closed reduction of a nasal fracture is a common and well established procedure in the pediatric literature. The Laryngeal mask airway is being used more frequently in recent years because it has been proven safe for select procedures. The goal of this article is to present a complication of using laryngeal mask airway for closed reduction nasal fractures and to examine the safety to prevent similar episodes. Observations We present a case of postoperative respiratory compromise secondary to pulmonary aspiration after a closed reduction nasal fracture in a child. The literature is reviewed, clinical characteristics, anesthesia techniques and surgical treatment are discussed. Conclusions and relevance To the best of our knowledge there is no such report in the literature. With this article and in conjunction with the above literature review, we suggest that the triad of nasal surgery, LMA and 'deep' extubation can lead to postoperative aspiration and respiratory compromise and should be avoided. Level of evidence Level 5, expert opinion or case report.

Original languageEnglish (US)
Pages (from-to)119-121
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology Extra
Volume9
Issue number3
DOIs
StatePublished - Sep 2014

Keywords

  • Anesthesia
  • Laryngeal mask airway
  • Nasal fracture reduction
  • Nasal surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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