An unusual complication of endotracheal intubation in a dog

Vesal, Nasser; Nikahval, Behrooz; Sarchahi, Ali Asghar

doi:10.1111/vaa.12063

Cited by 4 publications

(13 citation statements)

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“…When it was identified that the distal portion of the ETT was missing immediately after extubation, and once the dog was re‐anaesthetised, it was decided to perform thoracic radiography. Although endoscopic examination could have been immediately performed, there was a possibility that the tube portion may have been swallowed as previously described in a case report 2 . Although it was considered likely that the ETT portion was lodged in the airway given the degree of hypoxaemia identified on pulse oximetry, it was possible that the dog could have aspirated a large volume of gastric content when it regurgitated which may have caused the observed hypoxaemia.…”

Section: Discussionmentioning

confidence: 98%

“…Complications associated with endotracheal intubation are rare in dogs and cats, although reports include deglutition, 2 ETT foreign bodies, 3 tracheal damage, 4 difficult extubation 5,6 and ETT breakages 7 . ETT foreign bodies are rarely reported, although under‐reporting is possible.…”

Section: Discussionmentioning

confidence: 99%

“…Although endoscopic examination could have been immediately performed, there was a possibility that the tube portion may have been swallowed as previously described in a case report. 2 Although it was considered likely that the ETT portion was lodged in the airway given the degree of hypoxaemia identified on pulse oximetry, it was possible that the dog could have aspirated a large volume of gastric content when it regurgitated which may have caused the observed hypoxaemia. The disadvantages to performing radiography included the delay in removing the ETT portion and hence prolonging the period of hypoxaemia and requirement for the dog to be moved from the trolley onto the radiography table, which may have increased the likelihood of further regurgitation if the dog was under a light plane of anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Aspiration of a portion of endotracheal tube following patient bite upon recovery from general anaesthesia in a dog

Bennell

Hughes

Bruniges

2021

Vet Record Case Reports

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A Labrador Retriever underwent elective general anaesthesia for pinnectomy. The anaesthetic was uneventful until the recovery period where the dog rapidly regained consciousness and bit through the endotracheal tube, aspirating the distal portion. The dog was re‐anaesthetised and the tracheal foreign body was successfully removed with endoscopic guidance. The dog made a full and unremarkable recovery from anaesthesia.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Aspiration of a portion of endotracheal tube following patient bite upon recovery from general anaesthesia in a dog

Bennell

Hughes

Bruniges

2021

Vet Record Case Reports

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“…Failure of the internal structure of the ET tube can lead to tube spontaneous breakage during extubation 7 . Complications of human error include tracheal necrosis secondary to over inflation of the cuff, 8 tracheal rupture either secondary to tracheal necrosis or occurring directly post intubation, 9 and oesophageal intubation 10 …”

Section: Discussionmentioning

confidence: 99%

Successful management of a dog with endotracheal tube lodgement using tracheostomy and tracheotomy

Grzywa

Barker

2021

Vet Record Case Reports

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“…In canines a series of setbacks have been described during the intubation procedure (1,2), within which we can mention , soft palate trauma , traumatic laryngitis, tracheitis and phenomena of cerebral hypoxia delay in the procedure , these difficulties are well described in humans by the American Society of Anesthesiologists (ASA ) (3)(4)(5)(6) and are determining when performing tracheal intubation , so it is important to define via difficult area (DAV ) , which is defined as requiring more than three attempts to intubate the trachea (7). The cause of DAV is given by anatomical factors or pathological abnormalities in face, mouth and neck (8).…”

Section: Introductionmentioning

confidence: 99%

Efectividad de factores predictivos de intubación en caninos

D¹,

G²

2017

Rev MVZ Córdoba

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Objetive. To determine predictors of effectiveness of airway intubation and its prognostic value, according to the morphology of the skull in dogs. Materials and methods. We performed a descriptive, observational study in two veterinary clinics, in Medellin city, Colombia. 74 dogs were evaluated randomly. All underwent Mallampati, Patil-Aldreti, Cormack-Lehane scale and distance sternum chin separated by skull morphology. Tukey test p≤0.05 were performed in skull morphology and predictive scales; in addition to principal component analysis and predictive scale race. Results. significant statistics and Mallampati between brachycephalic, dolichocephalic and mesocephalic (p=0.00), brachycephalic had difficult intubation, Cormack-Lehane differences were presented also similar between brachycephalic and the other two groups. Exhibited brachycephalic difficult intubation. Patil-Aldreti revealed brachycephalic demonstrate statistical difference from the others, with moderate difficulty. The sternum chin distance, showed no divergence for any of the three groups. Assessment predictor of intubation found that 13.51 % of dogs have difficult intubation, 37.83 % with moderate difficulty and 47.29 % showed slight difficulty for intubation. The average intubation attempts was 1.83 attempts and the average time was 123.43 sec. The main components determined that breeds Bulldog, is predicted by Mallampati and Patil-Aldreti while Pinscher is predicted by Cormack Lehane. Mixed races, is not influenced by a predictor. Conclusions. Brachycephalic type canines are those with greater difficulty of intubation and Mallampati is the main predictor factor. Keywords: Airway, anesthesia, endotracheal intubation, head (Source: MeSH). RESUMENObjetivo. Determinar factores predictivos de intubación de vía aérea y su valor pronóstico, de acuerdo a la morfología del cráneo en caninos. Materiales y métodos. Se realizó un estudio descriptivo, observacional en dos clínicas veterinarias en la ciudad de Medellín, Colombia. Para este estudio 74 perros se evaluaron al azar. Todos se sometieron a factores predictivos como Mallampati, Patil-Aldreti, Cormack-Lehane y la distancia esternón mentoniana, de acuerdo a la morfología del cráneo. Los datos fueron evaluados mediante prueba de Tukey con una p≤0.05 para morfología del cráneo y las escalas de predicción; además, del análisis de componentes principales como predictivo para cada escala según raza. Resultados. En este estudio se encontró una diferencia estadística significativa para Mallampati entre caninos braquicéfalos, dolicocefálicos y mesocefálicos (p=0.00). Los braquicefálicos tuvieron intubación difícil. Igualmente, se presentaron diferencia en Cormack-Lehane entre braquicéfalos y los otros dos grupos, con difícil intubación. Patil-Aldreti demostró diferencias entre braquicefálicos y los demás, con dificultad moderada. La distancia esternomentoniana, no mostró ninguna divergencia para cualquiera de los tres grupos. La evaluación del predictor de intubación encontró que 13.51% de los

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An unusual complication of endotracheal intubation in a dog

Cited by 4 publications

References 4 publications

Aspiration of a portion of endotracheal tube following patient bite upon recovery from general anaesthesia in a dog

Aspiration of a portion of endotracheal tube following patient bite upon recovery from general anaesthesia in a dog

Successful management of a dog with endotracheal tube lodgement using tracheostomy and tracheotomy

Efectividad de factores predictivos de intubación en caninos

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