Retrieval of Aspirated Endotracheal Tube

Kulkarni, Sadhana; Baride, Shobha J.; Nayak, Prabha P

doi:10.1213/01.ane.0000215123.40291.54

Cited by 3 publications

(7 citation statements)

References 4 publications

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“…In one report, a 10.5 mm ETT in a 40-year-old patient with a stab wound in the chest area was aspirated (2). The authors managed to reintubate the patient using a 7 mm ETT and the patient was saved from certain death.…”

Section: Discussionmentioning

confidence: 99%

“…In one case report, authors were successful in reintubation, without extracting the aspirated tube, with a second tube, as it was a smaller size than the primary tube (2). Therefore, if the patient has entered respiratory arrest and all possible attempts to find and extract the aspirated tube have failed, reintubation could be attempted with a tube of smaller diameter than the aspirated one, in a worst case scenario.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Death Caused by Tracheal Tube Aspiration

et al. 2014

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Introduction:Airway management, especially outside the operating room, needs meticulous observation in order to avoid certain risks, such as; endotracheal tube (ETT) dislocation, esophageal intubation, and unwanted extubation. ETT or tracheostomy dislocation is responsible for one-half of death or brain damage cases in the ICU. Despite appropriate fixation of an ETT, the previously mentioned complications can still occur . A broken ETT and consequent airway obstruction may lead to lethal complications.Case Presentation:We report a case of death caused by tracheal tube aspiration, where it was located distal to the vocal cords, with a part of it entering the right bronchus and the mediastinum, after tearing the right bronchus.Discussion:The vigilance and experience of medical personnel in the ICU, appropriate IV sedation, and using a bite block are the best ways to prevent mortality caused by aspiration of an ETT in all intubated patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Death Caused by Tracheal Tube Aspiration

et al. 2014

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“…Tracheobronchial foreign bodies are rare in adults and are most commonly due to aspiration commonly associated with underlying impairment of protective airway mechanisms [1]. Airway foreign bodies related to equipment in everyday use by anesthetists and critical care staff have been previously described [4,5,11,12]. Removal of such airway foreign bodies is traditionally performed at bronchoscopy (either flexible or rigid) with possible thoracotomy if bronchoscopy is unsuccessful.…”

Section: Discussionmentioning

confidence: 99%

“…Many iatrogenic cases involve various airway adjuncts and can result in serious morbidity and even mortality for patients [3][4][5][6][7].Closed suction catheters are widely used in the intensive care setting and are considered safe. We report an unusual case of endobronchial obstruction caused by a 14-cm length of broken closed suction catheter in a ventilated patient with a tracheostomy.…”

Section: Introductionmentioning

confidence: 99%

Fractured closed suction catheter: an unusual cause of endobronchial obstruction in a ventilated patient

Rogan

Marsh

2008

Ir J Med Sci

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“…There are very few reports of TT aspiration in the available literature. [ 2 3 4 5 ] In one report, following an inability to remove the aspirated TT, the authors re-intubated the patient's trachea with a smaller TT through the larger aspirated TT. [ 3 ] In another report, in a child, the aspirated TT was removed with the help of Magill forceps.…”

mentioning

confidence: 99%