Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600659 |
Resumo: | Abstract Objective The aim of this study is to report a case of a clinically significant obstruction during mechanical ventilation caused by the dissection of the wired endotracheal tube's lumen during general anesthesia in a pediatric patient. Case report A 12-years old patient undergoing general anesthesia for open appendectomy was intubated with a wired endotracheal tube and difficult removal of the guide. After starting the mechanical ventilation, there was increased expiratory fraction of CO2 and need for increased inspiratory pressure. Chance of complications with higher incidences were raised and treated unsuccessfully. Finally, during patient reintubation, the dissection of the endotracheal tube lumen was observed, and ventilation was restored to normal. Conclusion Anesthesia involves numerous possible complications. Suspicion and constant vigilance are essential for early diagnosis and treatment of any threat to the individual integrity. This case is relevant for emphasizing a possible very rare complication related to airway, which can quickly cause hypoxia and irreversible damage. Thus, this case contributes to the detection of this complication more frequently. |
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Revista Brasileira de Anestesiologia (Online) |
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Dissection of the wired endotracheal tube's lumen during general anesthesia: a case reportAirway obstructionComplication of intubationObstruction in ventilationAbstract Objective The aim of this study is to report a case of a clinically significant obstruction during mechanical ventilation caused by the dissection of the wired endotracheal tube's lumen during general anesthesia in a pediatric patient. Case report A 12-years old patient undergoing general anesthesia for open appendectomy was intubated with a wired endotracheal tube and difficult removal of the guide. After starting the mechanical ventilation, there was increased expiratory fraction of CO2 and need for increased inspiratory pressure. Chance of complications with higher incidences were raised and treated unsuccessfully. Finally, during patient reintubation, the dissection of the endotracheal tube lumen was observed, and ventilation was restored to normal. Conclusion Anesthesia involves numerous possible complications. Suspicion and constant vigilance are essential for early diagnosis and treatment of any threat to the individual integrity. This case is relevant for emphasizing a possible very rare complication related to airway, which can quickly cause hypoxia and irreversible damage. Thus, this case contributes to the detection of this complication more frequently.Sociedade Brasileira de Anestesiologia2017-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600659Revista Brasileira de Anestesiologia v.67 n.6 2017reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2015.02.006info:eu-repo/semantics/openAccessMendonça,Fabricio TavaresMartins,Leonardo DamascenoGazzi,RodrigoPalmieri,Jose Tadeu dos Santoseng2017-11-29T00:00:00Zoai:scielo:S0034-70942017000600659Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2017-11-29T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
title |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
spellingShingle |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report Mendonça,Fabricio Tavares Airway obstruction Complication of intubation Obstruction in ventilation |
title_short |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
title_full |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
title_fullStr |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
title_full_unstemmed |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
title_sort |
Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report |
author |
Mendonça,Fabricio Tavares |
author_facet |
Mendonça,Fabricio Tavares Martins,Leonardo Damasceno Gazzi,Rodrigo Palmieri,Jose Tadeu dos Santos |
author_role |
author |
author2 |
Martins,Leonardo Damasceno Gazzi,Rodrigo Palmieri,Jose Tadeu dos Santos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Mendonça,Fabricio Tavares Martins,Leonardo Damasceno Gazzi,Rodrigo Palmieri,Jose Tadeu dos Santos |
dc.subject.por.fl_str_mv |
Airway obstruction Complication of intubation Obstruction in ventilation |
topic |
Airway obstruction Complication of intubation Obstruction in ventilation |
description |
Abstract Objective The aim of this study is to report a case of a clinically significant obstruction during mechanical ventilation caused by the dissection of the wired endotracheal tube's lumen during general anesthesia in a pediatric patient. Case report A 12-years old patient undergoing general anesthesia for open appendectomy was intubated with a wired endotracheal tube and difficult removal of the guide. After starting the mechanical ventilation, there was increased expiratory fraction of CO2 and need for increased inspiratory pressure. Chance of complications with higher incidences were raised and treated unsuccessfully. Finally, during patient reintubation, the dissection of the endotracheal tube lumen was observed, and ventilation was restored to normal. Conclusion Anesthesia involves numerous possible complications. Suspicion and constant vigilance are essential for early diagnosis and treatment of any threat to the individual integrity. This case is relevant for emphasizing a possible very rare complication related to airway, which can quickly cause hypoxia and irreversible damage. Thus, this case contributes to the detection of this complication more frequently. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600659 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600659 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2015.02.006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.67 n.6 2017 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126629555994624 |