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  • Title: Bilateral vocal cord palsy during carotid endarterectomy under cervical plexus block.
    Author: Kwok AO, Silbert BS, Allen KJ, Bray PJ, Vidovich J.
    Journal: Anesth Analg; 2006 Feb; 102(2):376-7. PubMed ID: 16428526.
    Abstract:
    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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