Abstract
<i>To the Editor</i>.—In the article by Dr. Yanagisawa and me in the February 1968Archives(<b>87</b>:165) entitled "Carbon Dioxide Narcosis," we described an unusual complication of postnasal packing. It has been brought to our attention that this is a clinical impression and that further evidence by blood gas studies should be used to substantiate our opinions. Recently we have treated another patient with a clinical history similar to the one reported in the paper. This patient was a 74-year-old man with a metastatic renal cell carcinoma in the nasopharynx which required bilateral posterior nasal packing to control hemorrhage. Thirty-six hours postpacking, the patient developed marked edema and progressive obstruction of the upper airway. It was elected to do a tracheotomy for relief of this obstruction, but prior to and following tracheotomy arterial blood gas studies were obtained. The preoperative values were: PO<sub>2</sub>, 132; O<sub>2</sub>saturation, 96.6%;
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
More From: Archives of Otolaryngology - Head and Neck Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.