• Medicine · Dec 2017

    Case Reports

    A rare case of nonresterilized reinforced ETT obstruction caused by a structural defect: A case report.

    • Sang Ho Kim, A Yeon Park, Ho Bum Cho, Jae Hwa Yoo, Sun Young Park, Ji Won Chung, and Mun Gyu Kim.
    • Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Seoul, Hannam-dong, Yongsan-gu, Seoul, Korea.
    • Medicine (Baltimore). 2017 Dec 1; 96 (48): e8886.

    RationaleVarious factors can cause ventilatory failure after endotracheal tube (ETT) intubation, which is associated with increased patient morbidity and mortality.Patient ConcernsA 76-year-old woman who was diagnosed with a hemopericardium and suspicion of a major-vessel injury due to dislocation of the clavicular fracture fixation screw.DiagnosisNon-resterilized reinforced ETT obstruction caused by a structural defect.InterventionEndotracheal tube was exchanged.OutcomesThe ventilator profile showed rapid improvement.LessonsAnesthesiologists should consider that a non-resterilized reinforced ETT may be defective. An ETT defect can cause high PIP and ETT obstruction without kinking or foreign materials.

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