Korean J Anesthesiol.  2011 May;60(5):365-368. 10.4097/kjae.2011.60.5.365.

Tongue bite in a patient with tracheostomy after prone position: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea. sanhoman@ajou.ac.kr

Abstract

A 22-year-old man underwent an operation for posterolateral fusion of the lumbar spine at L3-5. He was ventilated via a tracheostomy site in a prone position for 210 minutes. Ventilator function and eyeballs were checked periodically. After changing his position to supine for the wake-up test, it was noticed that his tongue was self-inflicted and looked to be cut unless immediate decompression was applied. After several manual attempts to open the mouth failed, anesthesia depth was deepened with thiopental sodium and neuromuscular blocker to decompress and reposition the tongue into the intraoral cavity. Minimal teeth marks and scarring remained after seven months without any complications.

Keyword

Human bite; Prone position; Tracheostomy

MeSH Terms

Anesthesia
Bites and Stings
Bites, Human
Cicatrix
Decompression
Humans
Mouth
Neuromuscular Blockade
Prone Position
Spine
Thiopental
Tongue
Tooth
Tracheostomy
Ventilators, Mechanical
Young Adult
Thiopental
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