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Journal papers
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A Rare Airway Obstruction Caused by Dissection of a Reinforced Endotracheal Tube
Title
A Rare Airway Obstruction Caused by Dissection of a Reinforced Endotracheal Tube
Authors
Choi Y.H.
;
Lee D.H.
Ewha Authors
최윤희
SCOPUS Author ID
최윤희
Issue Date
2018
Journal Title
Journal of Emergency Medicine
ISSN
0736-4679
Citation
Journal of Emergency Medicine vol. 54, no. 4, pp. e73 - e75
Keywords
airway obstruction
;
dissection
;
hypercapnia
Publisher
Elsevier USA
Indexed
SCIE; SCOPUS
Document Type
Article
Abstract
Background: Endotracheal tube (ETT) obstruction or narrowing in patients undergoing general anesthesia due to dissection of reinforced ETT is unusual. Case Report: A 26-year-old woman was transferred to the emergency department due to drowsy mental status after surgery. She was intubated by reinforced ETT with grossly normal external appearance, but the inner layer of ETT was dissected, the inner diameter was narrowed, and the extent of protrusion of inner layer of ETT was more severe at the distal end. Therefore, the patient had to breathe through a very small diameter ETT, and hypercapnia and CO2 narcosis developed. Why Should an Emergency Physician Be Aware of This?: Although rare, obstruction by dissection of ETT can be life-threatening if diagnosis is delayed. Therefore, emergency physicians should keep in mind the possibility of ETT dissection when peak airway pressures or EtCO2 values are elevated in intubated patients. © 2017 Elsevier Inc.
DOI
10.1016/j.jemermed.2017.12.043
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