Partial Obstruction of the Endotracheal Tube by the Plastic Coating Sheared from a Stylet.
نویسندگان
چکیده
A preterm with gestational age of 24 weeks was intubated at day of life 16. The intubation was done in a routine manner with the use of a stylet. It took a significant effort from the clinician to pull the stylet out after intubation. After intubation the respiratory status of the neonate deteriorated requiring significantly greater support. When ventilating and oxygenating the infant was getting progressively difficult, the decision was made to change the endotracheal tube (ETT). The cause for deterioration of respiratory status was then determined to be a sheared piece of plastic from the sheath of the stylet which was lodged in the lumen of the ETT. After removal of the plastic particle, the condition of the infant improved significantly.
منابع مشابه
A rare cause of endotracheal tube obstruction: a broken stylet going unnoticed--a case report.
In anesthesia practice, stylet is used as an aid in difficult tracheal (ET) intubation. Disposable plastic covered or plastic bougies are recommended but in developing countries, the metal stylets are still in use. Shearing of part of stylet has been reported in past but all incidents were detected immediately. We report a case of tracheal tube blockade due to a broken stylet tip which initiall...
متن کاملEndotracheal Tube Obstruction: A Manufacturing Defect.
Various manufacturing defects of endotracheal tubes are encountered in anaesthesia practice. One of the important defects of an endotracheal tube is that a partial or complete obstruction can be potentially life-threatening. Manufacturing defects may not be ascertainable by routine inspection. In this case report, we report a partial airway obstruction caused by a plastic membrane in the connec...
متن کاملA Near Miss: Case Report and Literature Review
We report a 28-week gestation premature infant with rare complication of endotracheal intubation. A piece from the plastic sheath of the stylet was retrieved inside the endotracheal tube after extubation.
متن کاملSound Analysis in an In Vitro Endotracheal Tube Model
BACKGROUND/AIMS Complete endotracheal tube obstruction is a medical emergency, and partial occlusion causes increased breathing rates and failure to wean off mechanical ventilation. Partial occlusion may be underestimated due to the lack of proper detection methods. We tested whether the sound of an endotracheal tube could be used to detect an endotracheal tube obstruction using an in vitro mod...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Case reports in pediatrics
دوره 2016 شماره
صفحات -
تاریخ انتشار 2016