An unusual complication related to the deflation of two endotracheal tube cuffs

Inadvertent endotracheal tube cuff rupture during unilateral arytenoid lateralisation for laryngeal paralysis in a dog

“…Several cases of difficult or impossible extubation are described in the veterinary literature. [8][9][10][11][12][13][14] Accidental suturing of the ETT cuff during tracheal rupture repair 8 and inability to deflate the cuff have been described in dogs. 9 Additionally, the formation of an annulus around the distal ETT cuff, [10][11][12] entrapment of the pilot balloon during oesophagostomy tube placement 13 and breakage of the ETT during extubation due to biofilm formation have been reported.…”

“…[8][9][10][11][12][13][14] Accidental suturing of the ETT cuff during tracheal rupture repair 8 and inability to deflate the cuff have been described in dogs. 9 Additionally, the formation of an annulus around the distal ETT cuff, [10][11][12] entrapment of the pilot balloon during oesophagostomy tube placement 13 and breakage of the ETT during extubation due to biofilm formation have been reported. 14 A failed extubation is recognised when it is not possible to remove part or all of the ETT from the trachea of the patient.…”

“…Several cases of difficult or impossible extubation are described in the veterinary literature 8–14 . Accidental suturing of the ETT cuff during tracheal rupture repair 8 and inability to deflate the cuff have been described in dogs 9 .…”

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

“…Complications can be divided into equipment errors and human errors. Equipment errors include cuff alignment failure, when either extubation is difficult due to deflated cuff position, 3,4 cuff herniation occurs 5 or in case of pilot balloon mechanism failure preventing deflation of the cuff 6 . Failure of the internal structure of the ET tube can lead to tube spontaneous breakage during extubation 7 .…”

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

“…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.…”