• A & A case reports · May 2016

    Case Reports

    Difficult Ventilation After Successful Intubation in the Emergency Setting Due to a Ball Valve Clot.

    • Justin S Liberman, Wade Weigel, and Joseph M Neal.
    • From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.
    • A A Case Rep. 2016 May 15; 6 (10): 291-2.

    AbstractThe inability to ventilate a patient after successful intubation is a rare but emergent situation and may be caused by obstruction of the endotracheal tube, bilateral tension pneumothorax, esophageal intubation, severe bronchospasm, or mainstem bronchus intubation. We describe an increase in mean airway pressure, inability to ventilate, and loss of cardiac output secondary to a blood clot acting as a ball valve at the end of an endotracheal tube.

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