• Ann Acad Med Singap · Nov 1992

    Case Reports

    Tracheal rupture from incorrect positioning of endotracheal tube.

    • L Y Yam, Y P Tai, K S Wong, and M K Li.
    • Department of Medicine, Nethersole Hospital, Hong Kong.
    • Ann Acad Med Singap. 1992 Nov 1; 21 (6): 823-6.

    AbstractSignificant ischaemic tracheal damage from endotracheal intubation is uncommon when the lateral wall pressure exerted by the cuff does not exceed the mean capillary perfusion pressure of the mucosa. This is facilitated by the modern endotracheal tubes with high-volume-low-pressure cuffs. We report a case of tracheal rupture due to an incorrectly positioned softcuffed tube. The need to review tube position radiologically and to make immediate adjustment cannot be overemphasised.

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