Deb Prakash, Ahmed Jabed, Akhtar Hanifa, Dutta Kaustuv, Yunus Mohd
Anesthesiology and Critical Care, All India Institute of Medical Sciences, Guwahati, Guwahati, IND.
Critical Care Medicine, Christian Medical College, Vellore, Vellore, IND.
Cureus. 2023 Jul 12;15(7):e41757. doi: 10.7759/cureus.41757. eCollection 2023 Jul.
Post-anesthesia stridor due to laryngospasm, laryngeal edema, or any other organic cause is a life-threatening condition requiring immediate intervention. The very rare functional stridor or psychogenic stridor following emergence from general anesthesia may sometimes mimic stridor due to an organic cause, but it is neither fatal nor require immediate airway management. However, if the condition is not diagnosed timely, it may lead to unnecessary manipulation of the airway, such as endotracheal intubation or tracheostomy. We report herein a case of functional stridor in a 48-year-old woman who underwent abdominal-perineal resection for carcinoma rectum. The case was timely diagnosed by the attending anesthetist, and the patient recovered spontaneously, thus avoiding any unindicated airway handling and its associated complications.
因喉痉挛、喉水肿或任何其他器质性原因导致的麻醉后喘鸣是一种危及生命的情况，需要立即进行干预。全麻苏醒后极罕见的功能性喘鸣或精神性喘鸣有时可能类似于器质性原因导致的喘鸣，但它既不致命也不需要立即进行气道管理。然而，如果该情况未得到及时诊断，可能会导致对气道进行不必要的操作，如气管插管或气管切开术。我们在此报告一例48岁女性功能性喘鸣的病例，该患者因直肠癌接受了腹会阴切除术。该病例由主治麻醉师及时诊断，患者自行康复，从而避免了任何不必要的气道处理及其相关并发症。
