Pilot Balloon Repair - An intraoperative challenge

Detalhes bibliográficos
Autor(a) principal: Cordeiro, Nuno Almeida
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.31578
Resumo: An ASA IV, full-stomach 76-year-old patient diagnosed with a subdural haematoma was under TIVA for burr hole drainage. At the end of the procedure, while removing the surgical drapes, the neurosurgeon accidentally tears the pilot balloon. Air leakage became audibled and ventilation issues ensued. A 20G intravenous catheter was inserted into the remaining pilot line, using the standard vein catheterization technique. After the needle was removed, a 10mL syringe was attached and the cuff was successfully refilled with air. The emergence was uneventful, and the patient was extubated at the end of the procedure. There are several options to deal with a torn pilot balloon prior to a patient being ready for extubation. This rescue procedure prevented further airway manoeuvres maintaining a secure airway and contributing to the ventilatory and hemodynamic stability of this neurosurgical patient.
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spelling Pilot Balloon Repair - An intraoperative challengeReparação do pilot balloon - Um desafio intraoperatórioImagem em AnestesiologiaAn ASA IV, full-stomach 76-year-old patient diagnosed with a subdural haematoma was under TIVA for burr hole drainage. At the end of the procedure, while removing the surgical drapes, the neurosurgeon accidentally tears the pilot balloon. Air leakage became audibled and ventilation issues ensued. A 20G intravenous catheter was inserted into the remaining pilot line, using the standard vein catheterization technique. After the needle was removed, a 10mL syringe was attached and the cuff was successfully refilled with air. The emergence was uneventful, and the patient was extubated at the end of the procedure. There are several options to deal with a torn pilot balloon prior to a patient being ready for extubation. This rescue procedure prevented further airway manoeuvres maintaining a secure airway and contributing to the ventilatory and hemodynamic stability of this neurosurgical patient.Sociedade Portuguesa de Anestesiologia2023-09-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.31578eng0871-6099Cordeiro, Nuno Almeidainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-04T09:24:52Zoai:ojs.revistas.rcaap.pt:article/31578Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:17.202301Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Pilot Balloon Repair - An intraoperative challenge
Reparação do pilot balloon - Um desafio intraoperatório
title Pilot Balloon Repair - An intraoperative challenge
spellingShingle Pilot Balloon Repair - An intraoperative challenge
Cordeiro, Nuno Almeida
Imagem em Anestesiologia
title_short Pilot Balloon Repair - An intraoperative challenge
title_full Pilot Balloon Repair - An intraoperative challenge
title_fullStr Pilot Balloon Repair - An intraoperative challenge
title_full_unstemmed Pilot Balloon Repair - An intraoperative challenge
title_sort Pilot Balloon Repair - An intraoperative challenge
author Cordeiro, Nuno Almeida
author_facet Cordeiro, Nuno Almeida
author_role author
dc.contributor.author.fl_str_mv Cordeiro, Nuno Almeida
dc.subject.por.fl_str_mv Imagem em Anestesiologia
topic Imagem em Anestesiologia
description An ASA IV, full-stomach 76-year-old patient diagnosed with a subdural haematoma was under TIVA for burr hole drainage. At the end of the procedure, while removing the surgical drapes, the neurosurgeon accidentally tears the pilot balloon. Air leakage became audibled and ventilation issues ensued. A 20G intravenous catheter was inserted into the remaining pilot line, using the standard vein catheterization technique. After the needle was removed, a 10mL syringe was attached and the cuff was successfully refilled with air. The emergence was uneventful, and the patient was extubated at the end of the procedure. There are several options to deal with a torn pilot balloon prior to a patient being ready for extubation. This rescue procedure prevented further airway manoeuvres maintaining a secure airway and contributing to the ventilatory and hemodynamic stability of this neurosurgical patient.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-29
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25751/rspa.31578
url https://doi.org/10.25751/rspa.31578
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0871-6099
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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