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Paratracheal abscess after traumatic tracheal intubation

Paratracheal abscess after traumatic tracheal intubation Major complications of laryngoscopy and tracheal intubation are rare. However, mucosal trauma during airway management can lead to the introduction of oropharyngeal bacterial flora into the deep neck spaces, with the potential for fatal complications. This report describes the development of a paratracheal abscess in a healthy 62‐year‐old man following an outpatient herniorrhaphy. The patient was treated with intravenous antibiotics and underwent ultrasound‐guided needle aspiration of the abscess. He was later re‐admitted to the hospital with re‐accumulation of the abscess, which was successfully treated by open surgical drainage. Though deep neck space infection following laryngoscopy is more common in patients with significant comorbidities and when tracheal intubation has been difficult, this case highlights the need for careful airway management in all patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Reports Wiley

Paratracheal abscess after traumatic tracheal intubation

Leader, P.; Curry, S.; Pate, S.
Anaesthesia Reports , Volume 8 (1) – Jan 1, 2020
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References (12)

Publisher
Wiley
Copyright
2020 © Association of Anaesthetists
eISSN
2637-3726
DOI
10.1002/anr3.12045
Publisher site
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Abstract

Major complications of laryngoscopy and tracheal intubation are rare. However, mucosal trauma during airway management can lead to the introduction of oropharyngeal bacterial flora into the deep neck spaces, with the potential for fatal complications. This report describes the development of a paratracheal abscess in a healthy 62‐year‐old man following an outpatient herniorrhaphy. The patient was treated with intravenous antibiotics and underwent ultrasound‐guided needle aspiration of the abscess. He was later re‐admitted to the hospital with re‐accumulation of the abscess, which was successfully treated by open surgical drainage. Though deep neck space infection following laryngoscopy is more common in patients with significant comorbidities and when tracheal intubation has been difficult, this case highlights the need for careful airway management in all patients.

Journal

Anaesthesia Reports – Wiley

Published: Jan 1, 2020

Keywords: neck infection; paratracheal abscess; tracheal intubation; upper airway anatomy

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