A Rare Airway Obstruction Caused by Dissection of a Reinforced Endotracheal Tube

Choi, Yoon Hee; Lee, Dong Hoon

doi:10.1016/j.jemermed.2017.12.043

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…Bronchial obstruction is not a new situation in intubation, which is mostly caused by secretions, pus, mucus plugs, blood clots, malposition of BBs cuff or twist of the tube by oral biting [8,9] . A small portion of obstructions are caused by tumor embolus, variant bronchus, cuff hyperin ation or malfunction of ET [10][11][12][13] .…”

Section: Discussionmentioning

confidence: 99%

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Zhu

Liu

et al. 2020

Preprint

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Background The airway obstructions are usually caused by secretions, mucus plugs, blood clots, malposition of bronchial blockers (BBs) cuff or twist of the tube by oral biting. In this paper, we report a case of accidental bronchial obstruction as a result of a cuff detaching from the BBs catheter.Case presentation A 48-year-old male was admitted to our department due to small cell lung cancer. He had received two cycles of neoadjuvant chemotherapy with etoposide plus cisplatin and was scheduled a right upper lobe resection by thoracotomy. During the surgery, the patient was intubated with an 8.0-mm internal diameter BBs tube (Univent tube). When the anesthesiologist tried to remove the BBs towards the end of surgery, the cuff got detached accidentally and obstructed the airway leading to improper expansion of the middle lobe. This condition was determined later by the 6.0-mm bronchoscope and the cuff was removed with forceps. Conclusions We report this case aiming to remind other colleagues that the cuff detachment in the surgical procedure is still a potentially fatal incident even it rarely happens nowadays. It is important to check the BBs apparatus meticulously through the whole operative procedure. The routine use of 4.0-mm bronchoscope should be highly recommended during the entire airway management when a bronchial obstruction is suspected.

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Section: Discussionmentioning

confidence: 99%

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Zhu

Liu

et al. 2020

Preprint

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show abstract

“…Datos como una curva de capnografía característica, junto a un volumen minuto bajo y presiones altas de la vía aérea, suponen obstrucción. La fisiopatología se explica por la obstrucción del tubo traqueal o complementos, esto desencadena dismución del compliance pulmonar y trastornos en ventilación/perfusión, incrementando CO 2 exhalado con advenimiento de hipercapnia, con este patrón indicado es necesaria una confirmación y funcionalidad de instrumentos, descartar las posible alteraciones previene eventos adversos [10], [15], [22].…”

Section: Discussionunclassified

Consideraciones anestésicas en hipercapnia intraoperatoria, a propósito de un caso

Pila¹,

Aguilar²

2019

Rev. chil. anest.

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Solid Tumors Outside of the Central Nervous System

Schreiber

Killinger

2019

Critical Care of the Pediatric Immunocompromised Hematology/Oncology Patient

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A Rare Airway Obstruction Caused by Dissection of a Reinforced Endotracheal Tube

Cited by 6 publications

References 4 publications

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Consideraciones anestésicas en hipercapnia intraoperatoria, a propósito de un caso

Solid Tumors Outside of the Central Nervous System

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