Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia | Zendy

Minal Joshi | Zendy; Simon Mardakh | Zendy; Joel Yarmush | Zendy; Hattiyangadi Sangeetha Kamath | Zendy; Joseph SchianodiCola | Zendy; Ernesto Mendoza | Zendy

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Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

Author(s) -

Minal Joshi,

Simon Mardakh,

Joel Yarmush,

Hattiyangadi Sangeetha Kamath,

Joseph SchianodiCola,

Ernesto Mendoza

Publication year - 2013

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2013/568373

Subject(s) - medicine , tracheomalacia , surgery , tracheal intubation , complication , endotracheal intubation , endotracheal tube , intubation , anesthesia , conservative treatment , airway

Tracheal rupture is a rare complication of endotracheal intubation. We present a case of tracheal rupture that was diagnosed intraoperatively after the use of an NIM EMG endotracheal tube. A 66-year-old female with a recurrent multinodular goiter was scheduled for total thyroidectomy. Induction of anesthesia was uncomplicated. Intubation was atraumatic using a 6 mm NIM EMG endotracheal tube (ETT). Approximately 90 minutes into the surgery, a tracheal tear was suspected. After confirming the diagnosis, conservative treatment with antibiotic coverage was favored. The patient made a full recovery with no complications. Diagnosis of the tracheal tear was made intraoperatively, prompting early management.

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