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A&A Case Reports:
doi: 10.1213/XAA.0000000000000049
Case Reports: Case Report

Mucosal Erosion of the Cricoid Cartilage After the Use of an i-Gel Supraglottic Airway Device in a Patient with Diffuse Idiopathic Skeletal Hyperostosis

Schaer, Andreas C. MD*; Keel, Marius J. B. MD; Dubach, Patrick MD; Greif, Robert MD*; Luyet, Cédric MD*; Theiler, Lorenz MD*

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Abstract

After standard hip arthroplasty, an 82-year-old patient with previously undiagnosed diffuse idiopathic skeletal hyperostosis of the cervical spine experienced life-threatening side effects after use of a supraglottic airway device (i-gel). Extensive mucosal erosion and denudation of the cricoid cartilage caused postoperative supraglottic swelling and prolonged respiratory failure requiring tracheostomy. In this case report, we highlight the importance of evaluating risk factors for failure of supraglottic airway devices.

© 2014 International Anesthesia Research Society

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