Open AccessA rare case of nonresterilized reinforced ETT obstruction caused by a structural defect
Author(s) -
Sang Ho Kim,
A Yeon Park,
Ho Bum Cho,
Jae Hwa Yoo,
Sun Young Park,
Ji Won Chung,
Mun Gyu Kim
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000008886
Subject(s) - medicine , intubation , endotracheal tube , hemopericardium , surgery , endotracheal intubation , iatrogenic injury , airway obstruction , airway , cardiac tamponade
Rationale: Various factors can cause ventilatory failure after endotracheal tube (ETT) intubation, which is associated with increased patient morbidity and mortality. Patient concerns: A 76-year-old woman who was diagnosed with a hemopericardium and suspicion of a major-vessel injury due to dislocation of the clavicular fracture fixation screw. Diagnosis: Non-resterilized reinforced ETT obstruction caused by a structural defect. Intervention: Endotracheal tube was exchanged. Outcomes: The ventilator profile showed rapid improvement. Lessons: Anesthesiologists should consider that a non-resterilized reinforced ETT may be defective. An ETT defect can cause high PIP and ETT obstruction without kinking or foreign materials.