Paradoxical vocal fold motion masquerading as post-anesthetic respiratory distress:A case report  

作　　者：Jongyoon Baek Dae-Lim Jee Yoon Seok Choi Sang Woo Kim Eun Kyung Choi 

机构地区：[1]Department of Anesthesiology and Pain Medicine,Yeungnam University College of Medicine,Daegu 42415,South Korea [2]Department of Otorhinolaryngology-Head and Neck Surgery,Yeungnam University College of Medicine,Daegu 42415,South Korea [3]Department of Neurosurgery,Yeungnam University College of Medicine,Daegu 42415,South Korea

出　　处：《World Journal of Clinical Cases》2023年第10期2349-2354,共6页世界临床病例杂志

摘　　要：BACKGROUND Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent intervention.However,this may be unfamiliar to anesthesiologists who would favor inappropriate airway intervention and increased morbidity.CASE SUMMARY A 61-year-old woman underwent cervical laminectomy,followed by laparoscopic cholecystectomy 10 mo later.Despite adequate reversal of neuromuscular blockade,the patient experienced repetitive respiratory difficulty with inspiratory stridor after extubation.After the second operation,the patient was diagnosed with paradoxical vocal fold motion(PVFM)by an otolaryngologist based on the clinical features and fiberoptic bronchoscopy results,and the patient was successfully treated.CONCLUSION PVFM should be considered a differential diagnosis if a patient presents with stridor after general anesthesia.

关 键 词：ANESTHESIOLOGY Vocal fold Paradoxical motion Postoperative respiratory distress Case report 

分 类 号：R614[医药卫生—麻醉学]