Minoda Yuko, Yoshimine Kowa, Nagata Etsuro, Kawaguchi Yasufumi, Sakamoto Mie, Takehara Akihiko
Department of Anesthesiology, Kagoshima City Hospital, Kagoshima 892-8580.
Masui. 2003 Mar;52(3):291-3.
A 58-year-old woman underwent oophorectomy for an ovarian tumor. Anesthesia was maintained with epidural block, and propofol and fentanyl anesthesia using a laryngeal mask airway. After the operation, she complained of hoarseness and difficulty in swallowing. Right vocal cord palsy was found by a ENT surgeon. The condition returned to normal two months after the operation. We have to have in mind that vocal cord palsy may occur even if we use a laryngeal mask airway. At least we have to pay attention to intra-cuff pressures and the position of the laryngeal mask airway.
一名58岁女性因卵巢肿瘤接受了卵巢切除术。麻醉采用硬膜外阻滞维持,并使用喉罩气道进行丙泊酚和芬太尼麻醉。术后,她主诉声音嘶哑和吞咽困难。耳鼻喉科医生检查发现右侧声带麻痹。术后两个月病情恢复正常。我们必须牢记,即使使用喉罩气道也可能发生声带麻痹。至少我们必须注意套囊内压力和喉罩气道的位置。