Document Detail

Inability to detect unintentional endobronchial intubation by conventional signs and its detection by the radiologist during fluoroscopy for cerebral aneurysm coiling.
MedLine Citation:
PMID:  17379128     Owner:  NLM     Status:  MEDLINE    
It is routine practice to auscultate the chest for equal bilateral breath sounds after tracheal intubation to verify that the tracheal tube tip is properly positioned. Signs of bronchial intubation also include desaturation, an increase or decrease in end-tidal carbon dioxide, and an increase in peak airway pressures. We report a case in which, during the course of endovascular coiling of a cerebral aneurysm during general anesthesia, desaturation occurred despite seemingly equal air entry on chest auscultation. The clinical picture was confused further by the presence of normal airway pressures and capnography. Incidental detection of bronchial intubation by the radiologist while performing fluoroscopy prevented any adverse sequelae to the patient and also presented an unusual method of diagnosis.
Sandeep Kapur; Sanjay Aragola; David Yates
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  19     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-23     Completed Date:  2007-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  138-40     Citation Subset:  IM    
Queen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Edgbaston, Birmingham B15 2TH, United Kingdom.
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MeSH Terms
Auscultation / methods
Bronchography / methods
Capnography / methods
Embolization, Therapeutic / methods
Fluoroscopy / methods
Incidental Findings*
Intracranial Aneurysm / complications,  therapy*
Intubation, Intratracheal* / adverse effects,  methods
Medical Errors*
Middle Aged
Obesity / complications
Oximetry / methods
Pulmonary Disease, Chronic Obstructive / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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