A rare case of kinked reinforced endotracheal tube in an intensive care unit: a case report

  • Reza Nikandish Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Arash Farbood Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Afshin Amini Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Firoozeh Tarkesh Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Shekufeh Gharache Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Keywords: Intensive Care Units, Anesthetic, Airway Obstruction, Hypoxia

Abstract

Reinforced endotracheal tubes (ETTs) are regularly applied in anesthetic practices to prevent compression or kinking. Although these tubes are designed to bend easily and prevent obstruction, they still carry a potential hazard of being obstructed following external forces. In this article, we reported an unusual case in which a reinforced ETT was collapsed due to the patient bite. The patient's bite force on the tube resulted in obstruction, hypoxia, and desaturation. To overcome this near-fatally condition, we removed the blocked reinforced ETT.

References

1. Malhotra D, Rafiq M, Qazi S, et al. Ventilatory obstruction with spiral embedded tube-are they as safe? Indian J Anaesth 2007;51:432.

2. Vijayakumar V, Ganesamoorthi A. Armored endotracheal tube: concerns in intensive care unit. Indian J Crit Care Med 2017;21: 60-61.

3. Wadhwa R, Dhakate G, Chilkoti G. Reinforced endotracheal tube: a life threatening experience in intensive care unit. Saudi J Anaesth 2013;7:358.

4. Gurumurthy T, Rammurthy K, Mahmood LS, et al. An unusual complication of reinforced tube reuse. J Anaesthesiol Clin Pharmacol 2012;28:528.
How to Cite
1.
Nikandish R, Farbood A, Amini A, Tarkesh F, Gharache S. A rare case of kinked reinforced endotracheal tube in an intensive care unit: a case report. Colomb. J. Anesthesiol. [Internet]. 2020 Jan. 1 [cited 2024 Apr. 18];48(1):50-2. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/181

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Published
2020-01-01
How to Cite
1.
Nikandish R, Farbood A, Amini A, Tarkesh F, Gharache S. A rare case of kinked reinforced endotracheal tube in an intensive care unit: a case report. Colomb. J. Anesthesiol. [Internet]. 2020 Jan. 1 [cited 2024 Apr. 18];48(1):50-2. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/181
Section
Case Report / Case Series

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