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Anesth Analg 2006;102:376-377
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000189189.47768.42

CARDIOVASCULAR ANESTHESIA

Bilateral Vocal Cord Palsy During Carotid Endarterectomy Under Cervical Plexus Block

Angel O. K. Kwok, FHKAM (Anaesthesiology), FANZCA*, Brendan S. Silbert, FANZCA{dagger}, Kara J. Allen, MBBS{dagger}, Peter J. Bray, MBBS{dagger}{ddagger}, and John Vidovich, FRACS{dagger}1

*Department of Anaesthesiology and Operating Theatre Services, Kwong Wah Hospital, Kowloon, Hong Kong, China; and Departments of {dagger}Vascular Surgery and {ddagger}Anaesthesia, St. Vincent’s Hospital, Melbourne, Australia

Address correspondence to Brendan Silbert, FANZCA, Department of Anaesthesia, St. Vincent’s Hospital, PO Box 2900, Fitzroy, Australia 3065. Address e-mail to silberbs{at}svhm.org.au.

We describe a case of vocal cord palsy leading to respiratory obstruction during carotid endarterectomy under cervical plexus block in a patient who had preexisting contralateral vocal cord paralysis subsequent to a previous thyroidectomy. The patient required immediate tracheal intubation and subsequent tracheostomy to maintain the airway postoperatively. Care must be given to avoid contralateral vocal cord paralysis in the presence of a preexisting vocal cord palsy.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.