• A&A practice · Mar 2021

    Case Reports

    Complete Endotracheal Tube Transection by Patient Bite: A Case Report and Algorithm for Fragment Identification and Extraction.

    • Annette Ilg, Matthias Eikermann, and Andrew J Synn.
    • From the Department of Emergency Medicine.
    • A A Pract. 2021 Mar 19; 15 (3): e01428.

    AbstractWe describe a case of a complete endotracheal tube (ETT) transection due to patient bite. The patient was intubated for postoperative pneumonia; during weaning of sedation, the patient was unable to tolerate pressure support ventilation (PSV) due to agitation. Adaptive support ventilation (ASV) improved patient comfort substantially. During a routine Spontaneous Breathing Trial (SBT) on PSV, the patient bit through the ETT, resulting in complete transection and an unsecured 20-cm airway fragment. Utilizing a multidisciplinary approach, we provided respiratory support and performed nasopharyngolaryngoscopy (NPL) to identify and extract the foreign body. An algorithm for management of ETT fragment extraction is provided.Copyright © 2021 International Anesthesia Research Society.

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