Postoperative airway obstruction due to Tapia’s syndrome after coronary bypass grafting surgery

The same authors suggested that the ascending pharyngeal branch of the carotid artery provides exclusive blood supply to cranial nerves X and XII, and thus carotid dissection after minor trauma may lead to sudden cranial nerve X and XII palsies. Extreme care must be taken in the placement of the hea...

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Bibliographic Details
Published in:	European journal of anaesthesiology Vol. 24; no. 4; pp. 378 - 379
Main Authors:	Sotiriou, K., Balanika, M., Anagnostopoulou, S., Gomatos, C., Karakitsos, D., Saranteas, T.
Format:	Journal Article
Language:	English
Published:	Cambridge, UK Cambridge University Press 01-04-2007 European Society of Anaesthesiology Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Airway management Airway Obstruction - etiology Coronary Artery Bypass - adverse effects Female Hemiplegia - complications Humans Intensive care Intubation, Intratracheal Medical treatment Middle Aged Nursing Postoperative Complications - etiology Syndrome Tongue Diseases - complications Vocal Cord Paralysis - complications
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Summary:	The same authors suggested that the ascending pharyngeal branch of the carotid artery provides exclusive blood supply to cranial nerves X and XII, and thus carotid dissection after minor trauma may lead to sudden cranial nerve X and XII palsies. Extreme care must be taken in the placement of the head during every procedure and in endotracheal tube position as this may result in bilateral hypoglossal and recurrent laryngeal nerve paralysis, which should be considered possible, whenever extubation fails owing to upper airway obstruction.
ISSN:	0265-0215 1365-2346
DOI:	10.1017/S0265021506001542