A rare complication associated with the endotracheal tube during extubation in a cat

2017 ◽  
Vol 44 (6) ◽  
pp. 1401-1403 ◽  
Author(s):  
Daisy Norgate ◽  
Carolina Palacios Jimenez
Keyword(s):  
Endotracheal Tube ◽  
Rare Complication

scholarly journals Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Minal Joshi ◽  
Simon Mardakh ◽  
Joel Yarmush ◽  
H. Kamath ◽  
Joseph Schianodicola ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Endotracheal Tube ◽  
Total Thyroidectomy ◽  
Endotracheal Intubation ◽  
Multinodular Goiter ◽  
Rare Complication ◽  
Early Management ◽  
Tracheal Rupture ◽  
Tracheal Tear ◽  
Antibiotic Coverage

Tracheal rupture is a rare complication of endotracheal intubation. We present a case of tracheal rupture that was diagnosed intraoperatively after the use of an NIM EMG endotracheal tube. A 66-year-old female with a recurrent multinodular goiter was scheduled for total thyroidectomy. Induction of anesthesia was uncomplicated. Intubation was atraumatic using a 6 mm NIM EMG endotracheal tube (ETT). Approximately 90 minutes into the surgery, a tracheal tear was suspected. After confirming the diagnosis, conservative treatment with antibiotic coverage was favored. The patient made a full recovery with no complications. Diagnosis of the tracheal tear was made intraoperatively, prompting early management.

scholarly journals A Broken Arrow: a rare complication of Endotracheal tube introducer

2019 ◽  
pp. 04-06
Author(s):  
Shyh Shyong Sim ◽  
Cheng Hung How ◽  
Bo-Hwi Kang
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Endotracheal Tube ◽  
Rare Complication ◽  
Mechanical Trauma ◽  
Difficult Airway Management

Complications from endotracheal tube introducer are rare and mostly involved mechanical trauma to airway structures. We report a rare complication while using endotracheal tube introducer during difficult airway management, which, we believed it was fragile after repeated sterilization.

scholarly journals A Rare Complication of Tracheal Intubation: Tongue Perforation

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Loreto Lollo ◽  
Tanya K. Meyer ◽  
Andreas Grabinsky
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Rare Complication ◽  
Subsequent Treatment ◽  
Unusual Complication ◽  
Brain Hemorrhage ◽  
Rare Injury ◽  
Airway Trauma ◽  
Base Of The Tongue

Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation.Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of this unusual complication are discussed. A 65-year-old female with intraparenchymal brain hemorrhage with rapidly progressive neurologic deterioration had the airway secured prior to arrival at the referral institution. The endotracheal tube (ETT) was noted to have pierced through the base of the tongue and entered the trachea, and the patient underwent operative laryngoscopy to inspect the injury and the ETT was replaced by tracheostomy.Results. Laryngoscopy demonstrated the ETT to perforate the base of the tongue. The airway was secured with tracheostomy and the ETT was removed.Conclusions. A wide variety of complications resulting from direct and video-assisted laryngoscopy and tracheal intubation have been reported. Direct perforation of the tongue with an ETT and ability to ventilate and oxygenate subsequently is a rare injury.

scholarly journals Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation

2018 ◽  
Vol 65 (4) ◽  
pp. 255-258 ◽  
Author(s):  
Robert Pierre ◽  
Harry Dym
Keyword(s):  
Endotracheal Tube ◽  
Rare Complication ◽  
Nasal Intubation ◽  
Tube Obstruction ◽  
Surgical Case

The purpose of this article is to describe a case of an accidental turbinectomy during nasal intubation for an elective oral and maxillofacial surgical case that was confirmed after extubation. While there are several reported cases, this still tends to be an overall rare complication in the field of anesthesia. This article highlights the complications encountered due to turbinectomy while also identifying causes, signs, and methods to prevent it.

Inter-arytenoid glottic bar following intubation

1990 ◽  
Vol 104 (9) ◽  
pp. 727-729 ◽  
Author(s):  
A. W. McCombe ◽  
D. E. Philips ◽  
J. H. Rogers
Keyword(s):  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Rare Complication ◽  
Relative Importance ◽  
Prolonged Intubation ◽  
Local Factors ◽  
Systemic Factors

AbstractInter-arytenoid glottic bar is a rare complication of prolonged endotracheal intubation. We present two such cases and their treatment.The aetiology of this complication is multifactorial and involves local factors—local tauma, movement of the endotracheal tube within the larynx, infection, and anatomical influences–together with systemic factors such as in our two cases.The relative importance of these factors is discussed.A comment is also made on the use of a pre-operative topogram and the importance of an ENT assessment in patients with airway problems following prolonged intubation.

scholarly journals Rare Complication of Nasogastric Tube Knotting around Endotracheal Tube in an Anesthetized Patient Undergoing Surgery

2021 ◽  
Author(s):  
Suvidha Sood ◽  
Yeesha Aggarwal ◽  
Anoj Kumar
Keyword(s):  
Respiratory Distress ◽  
Endotracheal Tube ◽  
Nasogastric Tube ◽  
Rare Complication ◽  
Successful Management ◽  
Accidental Extubation ◽  
Ryle’S Tube ◽  
Fatal Complications

AbstractWe report a case of successful management of a rare incidence and avoidance of complication of Ryle’s tube knotting around endotracheal tube. A vigilant anesthesia team prevented fatal complications of intraoperative accidental extubation and ventilation impairment which could have resulted into respiratory distress.

scholarly journals A CASE REPORT OF RETROPHARYNGEAL PASSAGE OF ENDOTRACHEAL TUBE WHILE ATTEMPTING BLIND NASAL INTUBATION - A RARE COMPLICATION

2015 ◽  
Vol 2 (24) ◽  
pp. 3636-3640
Author(s):  
Harinath G ◽  
Venkateshwarlu G ◽  
Bhanu Lakshmi M ◽  
Ramesh G ◽  
Mrunalini A
Keyword(s):  
Case Report ◽  
Endotracheal Tube ◽  
Rare Complication ◽  
Nasal Intubation

scholarly journals Unilateral Hypoglossal Nerve Palsy in a Patient with a Difficult Airway Requiring Prolonged Intubation

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Kahlin Leuzinger ◽  
Lopa Misra
Keyword(s):  
Risk Factors ◽  
Endotracheal Tube ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Rare Complication ◽  
Improve Patient Care ◽  
Prolonged Intubation ◽  
Hypoglossal Nerve Palsy ◽  
Intraoperative Management ◽  
Potential Risk Factors

Isolated cranial nerve injury is a very rare complication of anesthesia. Specifically, hypoglossal nerve palsy affects mobility of the tongue and basic functions of swallowing and speech, and injury can be associated with placement and/or positioning of the endotracheal tube. Many etiologies are described that are unrelated to anesthesia such as tumors, stroke, trauma, or surgical dissection. Identification of hypoglossal neuropraxic-type injury from compression or stretching during anesthetic procedures can be difficult and tends to be a diagnosis of exclusion. Here, we present a case of a unilateral isolated hypoglossal nerve palsy following prolonged intubation in a surgery that involved large fluid shifts resulting in tongue swelling, in which establishment of the airway was initially difficult requiring two attempts. We suggest it is equally as possible that stretch injury occurred during airway instrumentation versus prolonged compression of the nerve between the endotracheal tube and the hyoid bone, possibly relating to a swollen tongue. We outline some treatments that have been used in previous reports and analyze their relation to improvements in symptoms. We conclude that instrumentation of the airway and prolonged intubation are both potential risk factors for hypoglossal nerve palsy, and identification of these risk factors can improve patient care by prompting patient discussions, guiding intraoperative management, and initiating earlier therapies.

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