A Case of Pseudomembraneous Laryngotracheitis, Accompanied with Unusual EKG Finding, Complicated after Intratracheal Intubation Anesthesia

A 42 year-old house wife received re-anastomosis of the ureter and bladder in June, 1967 under general anesthesia by means of intratracheal intubation with nitrous oxide and fluothene. Pre-operative examinations were all within normal limits. Intubation was performed without difficulty and the procedure was done uneventfully.Total blood loss was 400 ml and the duration of anesthesia was 3 hrs. and 50 min.On the third postoperative day, the patient developed difficulty breathing most likely due to upper respiratory obstruction and EKG at this time showed coronary insufficiency. Immidiate tracheotomy was performed and resulted in a relief of the respiratory distress, and EKG had returned to normal.On the 8th postoperative day, the patient coughed up a 1×1. 5cm mass of white exsudate and the patient recovered satisfactorily. Reviewed and discussed 49 cases of this disease reported in this country.