A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube
Abstract Background The common causes of failure to inflate the lungs after placement of an endotracheal tube include mechanical obstruction of the tube by tight gauzes, tongue blade, tube kinking, patient biting on the tube, obstruction of the lumen by blood or foreign body, bronchospasm, haemothor...
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-11-01
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| Series: | Ain Shams Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s42077-019-0045-7 |
| _version_ | 1818268715825758208 |
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| author | Rathna Paramaswamy |
| author_facet | Rathna Paramaswamy |
| author_sort | Rathna Paramaswamy |
| collection | DOAJ |
| description | Abstract Background The common causes of failure to inflate the lungs after placement of an endotracheal tube include mechanical obstruction of the tube by tight gauzes, tongue blade, tube kinking, patient biting on the tube, obstruction of the lumen by blood or foreign body, bronchospasm, haemothorax, tension pneumothorax or equipment malfunction. Case presentation We report a case of complete airway obstruction due to herniation of the pilot inflation line into the lumen at the proximal end of a reinforced tube when the tracheal cuff was inflated. Prior to use, the endotracheal tube was tested and functioned normally. The patient was uneventfully reintubated with a new endotracheal tube. With the endotracheal tube, device problems often involve the pilot balloon and cuff assembly and leaks are more common. Conclusion This case report highlights an unusual cause of complete proximal lumen obstruction due to a manufacturing defect which could have caused a critical incident in the theatre. |
| first_indexed | 2024-12-12T20:42:54Z |
| format | Article |
| id | doaj.art-43693c6ddd824f18abe80a368b902b21 |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-12-12T20:42:54Z |
| publishDate | 2019-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-43693c6ddd824f18abe80a368b902b212022-12-22T00:12:39ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2019-11-011111410.1186/s42077-019-0045-7A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tubeRathna Paramaswamy0Department of Anaesthesiology, Saveetha Medical College and HospitalAbstract Background The common causes of failure to inflate the lungs after placement of an endotracheal tube include mechanical obstruction of the tube by tight gauzes, tongue blade, tube kinking, patient biting on the tube, obstruction of the lumen by blood or foreign body, bronchospasm, haemothorax, tension pneumothorax or equipment malfunction. Case presentation We report a case of complete airway obstruction due to herniation of the pilot inflation line into the lumen at the proximal end of a reinforced tube when the tracheal cuff was inflated. Prior to use, the endotracheal tube was tested and functioned normally. The patient was uneventfully reintubated with a new endotracheal tube. With the endotracheal tube, device problems often involve the pilot balloon and cuff assembly and leaks are more common. Conclusion This case report highlights an unusual cause of complete proximal lumen obstruction due to a manufacturing defect which could have caused a critical incident in the theatre.http://link.springer.com/article/10.1186/s42077-019-0045-7Airway obstructionCapnographyEndotracheal intubationEquipment failurePeak airway pressure |
| spellingShingle | Rathna Paramaswamy A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube Ain Shams Journal of Anesthesiology Airway obstruction Capnography Endotracheal intubation Equipment failure Peak airway pressure |
| title | A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| title_full | A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| title_fullStr | A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| title_full_unstemmed | A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| title_short | A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| title_sort | rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube |
| topic | Airway obstruction Capnography Endotracheal intubation Equipment failure Peak airway pressure |
| url | http://link.springer.com/article/10.1186/s42077-019-0045-7 |
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