A sheared stylet

Shetty, Shailaja; Power, Stephen; Afshar, Kourosh

doi:10.1136/bcr.02.2010.2725

Cited by 5 publications

(3 citation statements)

References 1 publication

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“…Sheared sheath is a potential complication with the use of stylets 1,2 . Broken sheath would have lodged in the tracheobronchial tree if the baby was ventilated without detection leading to a potential lethal outcome.…”

Section: Discussionmentioning

confidence: 99%

Sheared sheath of a stylet: Early detection avoiding disaster

Sinhabahu¹

2022

Sri Lanka J Child Health

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Case reportAn emergency intubation with a 2.5 mm endotracheal tube was carried out on a neonate born at 25 weeks of gestation weighing 900g. A neonatal stylet with a plastic sheath was used. It was difficult to remove the stylet following intubation. It was noted that a piece of its sheath was missing when the stylet was removed (Figure 1). Endotracheal tube was removed and missing piece of the sheath was found inside the endotracheal tube (Figure 2

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Section: Discussionmentioning

confidence: 99%

Sheared sheath of a stylet: Early detection avoiding disaster

Sinhabahu¹

2022

Sri Lanka J Child Health

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“…Use of the endotracheal tube stylet is one of the interventions advised by the American Society of Anesthesiology to manage a difficult airway and include awakeintubation.Thereareafewreportsintheliteratureof plastic endotracheal stylet remaining in the tracheobronchial tree [6][7][8]. There are a few reports of brokenmetalpieceguidethatremainedunnoticedinETT, but it was in ETT.…”

Section: Discussionmentioning

confidence: 99%

A piece of broken intubation tube stylet as endobronchial foreign body

et al. 2019

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Endotracheal tube stylets are still being used in many medical centres for difficult intubations. In rare cases, it may break inside the trachea during endotracheal intubation and may sometimes move unnoticed deep into the tracheobronchial tree. In this case report, the authors describe a rare complication after endotracheal tube (ETT) stylet intubation in a patient in whom a broken piece of metal guide remained in her tracheobronchial tree. A 69-year-old lady was admitted to our hospital for management of shortness of breath and cough with expectoration. The patient was a known case of chronic obstructive pulmonary disease, cor pulmonale and coronary artery disease. The authors report a case of an unrecognized broken piece of stylet in her tracheobronchial tree and left main bronchus, which was later detected by computed tomography scan and extracted. Despite precise evaluation before use, signs of breakage in the stylet may be missed, and, consequently, it may break inside the trachea and result in serious complications. It is strongly recommended that the intensivists pay attention to the sounds and movements of the instruments.

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“…[ 4 ] Various cases of retention and migration of plastic sheath of endotracheal stylet have been reported in the past. [ 5 ]…”

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confidence: 99%