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- W2980052901 abstract "Surgery of the head and neck often involves the sharing of the airway between surgeon and anaesthetist with all the inherent risks. We would like to share an unusual experience of such a case involving cleft palate repair in an 18-month-old child. The patient, undergoing a staged repair of the hard and soft palate, was anaesthetised in a standard fashion using an inhalational induction and muscle relaxation. The trachea was intubated with an appropriately sized south facing RAE tube. Once transferred to theatre, the surgeon began to take a 3D palatal impression with STD Firmer Set Vinyl Polysiloxane Impression Material Putty. The putty is workable in less than 60 s and sets hard after 5 min. After allowing the setting time, the surgeon attempted to remove the mould but the putty had inadvertently been wrapped around the tube and had set hard (Fig. 11). The putty was removed along with the tracheal tube. A second tracheal tube was obtained and re-sited. The patient came to no harm. Risks of airway dislodgement or obstruction are sometimes encountered with the use of the Dott mouth gag but we have never before been faced with a putty-related extubation." @default.
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- W2980052901 date "2001-10-01" @default.
- W2980052901 modified "2023-09-27" @default.
- W2980052901 title "A risk associated with the shared airway in reconstructive palate surgery" @default.
- W2980052901 doi "https://doi.org/10.1111/j.1365-2044.2001.2279-44.x" @default.
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