Document Detail

Aspiration of a dislodged endotracheal tube: a rare cause of acute total airway obstruction.
MedLine Citation:
PMID:  14515975     Owner:  NLM     Status:  MEDLINE    
We report an unusual cause of acute total airway obstruction after aspiration of a dislodged tube that was separated from its metallic connector. A 5-year-old boy had an emergence agitation and bucking to the endotracheal tube with a vigorous bite before extubation of the trachea. The whole uncuffed endotracheal tube was aspirated deep into the lower trachea causing laryngotracheal obstruction. The patient showed sudden oxygen desaturation and was then in an immediate life-threatening airway obstruction. We could not rescue oxygenation and were unable to establish a patent airway. Mask ventilation failed to relieve the progressive of hypoxemia. Immediate extraction of the tube using a pair of Magill's forceps before irreversible exacerbation was performed. We discuss our experience and the importance of prompt decision making and management for the extraction of the dislodged tube.
Shu-Yam Wong; Chi-Hao Tseng; Kit-Man Wong; Kuo-Ting Chen; Chit Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  26     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-30     Completed Date:  2003-11-07     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  515-9     Citation Subset:  IM    
Department of Anesthesiology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
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MeSH Terms
Acute Disease
Airway Obstruction / etiology*
Child, Preschool
Equipment Failure
Intubation, Intratracheal / adverse effects,  instrumentation*

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