In response to the comment on too much of anything is bad: An unusual case of a stuck endotracheal tube with deflated cuff

Karim, Habib Md Reazaul; Panda, Chinmaya Kumar

doi:10.4103/sja.sja_25_20

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2023

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“…The cuff may also remain fully inflated despite an empty pilot balloon due to the pilot catheter occlusion (Bergman & Sprung, 2003). When using silicone or PVC tubes, complete cuff deflation may result in a rigid ring formation causing an increase in the tube's outer diameter and difficult extubation (Norgate & Jimenez, 2017; Panda & Karim, 2019; Sanchis Mora & Seymour, 2011). None of those seemed to contribute in our case.…”

Section: Discussionmentioning

confidence: 99%

Extubation failure and surgical removal of a lodged endotracheal tube in a Welsh Mountain Pony

Libera,

Barnes,

Senior

2023

Equine Veterinary Education

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SummaryComplications related to endotracheal intubation are well recognised in both human and veterinary medicine; however, difficult extubation is rare and is typically related to accidental physical fixation, inability to deflate the cuff, anatomical abnormalities or an inappropriate tube. In this case report we describe an unexpected failure to extubate where tracheotomy was required to facilitate the removal of the endotracheal tube in an adult pony.

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