A Novel Case Report of Iatrogenic Tracheal Rupture Caused by a Laser-Resistant Endotracheal Tube Under Transoral Laser Laryngeal and Nasopharyngeal Surgery

06 December 2022 : Case report Japan

Diagnostic / therapeutic accidents

Yoko Shimamoto^1ABDEF*, Michiyoshi Sanuki^1ABDEF, Shigetaki Kurita^1BE, Masaya Ueki^1B, Yoshie Kuwahara^1B

DOI: 10.12659/AJCR.938357

Am J Case Rep 2022; 23:e938357

Background Case Report Discussion Conclusions References:

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Table 3. Blood laboratory test results before and after surgery.

Variables	Normal range	Day (−7)	Day 1	Day 2	Day 3	Day 5	Day 6
Hematology
Hemoglobin, g/dL	13.7–16.8	11.7	9.9	10.0	9.5	9.6	10.1
Hematocrit,%	40.7–50.1	37.0	30.2	29.9	29.6	28.9	32.6
Platelets, 10/L	15.8–34.8	88	101	106	89	94	96
White blood cells, 10/L	3.3–8.6	3.1	4.8	9.0	4.4	3.4	3.7
Electrolytes
Potassium, mmol/L	3.6–4.8	4.0	2.9	3.4	3.4	3.6	3.9
Sodium, mmol/L	138–145	140	142	143	144	145	147
Chloride, mmol/L	101–108	111	109	113	115	110	108
Biochemistry
CRP, mg/L	0.00–0.14	0.04	0.08	0.08	0.72	1.22	1.15
AST, IU/L	13–30	16	29	23	18	18	18
ALT, IU/L	10–42	10	11	10	9	9	10
Total bilirubin, mg/dL	0.4–1.5	1.6	1.0	1.0	0.7	1.1	1.1
Creatinine, mg/dL	0.65–1.07	0.77	0.91	0.82	0.77	1.09	1.31
Total protein, g/dL	6.6–8.1	6.3	5.3	5.3
Albumin, g/dL	4.1–5.1	3.4	2.8	2.6
PT, s	10.5–13.0	13.8	15.3	14.5	14.1	13.6	13.4
PT/INR	0.91–1.14	1.17	1.31	1.18	1.20	1.15	1.00
Day (−7) indicates 7 days before surgery. Day 1 indicates the date of surgery. The patient was extubated on Day 6. CRP – C-reactive protein; AST – aspartate aminotransferase; ALT – alanine aminotransferase; PT – prothrombin time; PT/INR – prothrombin time/ international normalized ratio.

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