Anesthesiology, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands
ICU, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands.
BMJ Case Rep. 2024 Jan 29;17(1):e257685. doi: 10.1136/bcr-2023-257685.
Hypoxaemia in the postanaesthesia care unit is common and the majority is caused by hypoventilation or upper airway obstruction due to the (residual) effects of anaesthetic and analgesic agents. We present a case of upper airway obstruction caused by vocal cord dysfunction, a less frequently occurring aetiology. The patient's case suggests a notable relationship between procedural laryngeal stimulus and the onset of symptoms. Approach to the diagnosis and flexible laryngoscopy to either rule-in or rule-out several relevant differentials are discussed.
麻醉后护理单元中的低氧血症很常见,大多数是由于麻醉和镇痛药物的(残留)作用引起的通气不足或上呼吸道阻塞。我们介绍了一个由声带功能障碍引起的上呼吸道阻塞的病例,这是一种较少发生的病因。该患者的病例表明,喉部刺激与症状发作之间存在显著关系。讨论了诊断方法和纤维喉镜检查,以排除或确定几个相关的不同病因。