Korean J Crit Care Med.  2017 Feb;32(1):70-73. 10.4266/kjccm.2016.00437.

A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. closerthan@gmail.com
  • 2Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient's bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient's right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.

Keyword

airway obstruction; bronchoscopy; intubation; intratracheal; prone position

MeSH Terms

Airway Obstruction
Bronchi*
Bronchoscopy
Humans
Intensive Care Units
Intubation
Patient Rights
Prone Position

Figure

  • Figure 1. A chest anteroposterior radiograph showing the distal portion of the severed endotracheal tube lodged in the right main bronchus.

  • Figure 2. The distal portion of the endotracheal tube is completely severed by the patient’s bite.


Cited by  1 articles

Importance of Capnography Monitoring in Critical Ill Patients
Young-Kown Ko
Korean J Crit Care Med. 2017;32(1):79-80.    doi: 10.4266/kjccm.2017.00101.


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