Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

Tracheal rupture is a rare complication of endotracheal intubation. We present a case of tracheal rupture that was diagnosed intraoperatively after the use of an NIM EMG endotracheal tube. A 66-year-old female with a recurrent multinodular goiter was scheduled for total thyroidectomy. Induction of anesthesia was uncomplicated. Intubation was atraumatic using a 6 mm NIM EMG endotracheal tube (ETT). Approximately 90 minutes into the surgery, a tracheal tear was suspected. After confirming the diagnosis, conservative treatment with antibiotic coverage was favored. The patient made a full recovery with no complications. Diagnosis of the tracheal tear was made intraoperatively, prompting early management.

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Conservative treatment using a spiral endotracheal tube with a mobile wing for postintubation tracheal rupture: A case report

The Journal of the Japanese Association for Chest Surgery ◽

10.2995/jacsurg.33.656 ◽

2019 ◽

Vol 33 (6) ◽

pp. 656-660

Author(s):

Itsuki Yuasa ◽

Hiroaki Sakai ◽

Yasumiko Hirayama ◽

Takehisa Fukata ◽

Hiroko Takechi ◽

...

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Endotracheal Tube ◽

Tracheal Rupture

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Early Management Experience of Perforation after ERCP

Gastroenterology Research and Practice ◽

10.1155/2012/657418 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 11

Author(s):

Guohua Li ◽

Youxiang Chen ◽

Xiaojiang Zhou ◽

Nonghua Lv

Keyword(s):

Conservative Treatment ◽

Early Phase ◽

Rare Complication ◽

Gastric Fundus ◽

Duodenal Perforation ◽

Endoscopic Retrograde ◽

Afferent Limb ◽

Early Management ◽

Endoscopic Nasobiliary Drainage ◽

Management Experience

Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations.Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (0.45%) were identified and retrospectively reviewed.Results. Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis. All patients with perforations were recognized during ERCP by X-ray and managed immediately. One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD), endoscopic retrograde pancreatic duct drainage (ERPD), gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on. All patients with perforation recovered successfully.Conclusions. We found that: (1) the diagnosis of perforation during ERCP may be easy, but you must pay attention to it. (2) Most retroperitoneal perforations can recover with only medical conservative treatment in early phase. (3) Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.

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A Rare Complication of Tracheal Intubation: Tongue Perforation

Case Reports in Anesthesiology ◽

10.1155/2012/281791 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Loreto Lollo ◽

Tanya K. Meyer ◽

Andreas Grabinsky

Keyword(s):

Tracheal Intubation ◽

Endotracheal Tube ◽

Endotracheal Intubation ◽

Rare Complication ◽

Subsequent Treatment ◽

Unusual Complication ◽

Brain Hemorrhage ◽

Rare Injury ◽

Airway Trauma ◽

Base Of The Tongue

Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation.Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of this unusual complication are discussed. A 65-year-old female with intraparenchymal brain hemorrhage with rapidly progressive neurologic deterioration had the airway secured prior to arrival at the referral institution. The endotracheal tube (ETT) was noted to have pierced through the base of the tongue and entered the trachea, and the patient underwent operative laryngoscopy to inspect the injury and the ETT was replaced by tracheostomy.Results. Laryngoscopy demonstrated the ETT to perforate the base of the tongue. The airway was secured with tracheostomy and the ETT was removed.Conclusions. A wide variety of complications resulting from direct and video-assisted laryngoscopy and tracheal intubation have been reported. Direct perforation of the tongue with an ETT and ability to ventilate and oxygenate subsequently is a rare injury.

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Inter-arytenoid glottic bar following intubation

The Journal of Laryngology & Otology ◽

10.1017/s0022215100113763 ◽

1990 ◽

Vol 104 (9) ◽

pp. 727-729 ◽

Cited By ~ 7

Author(s):

A. W. McCombe ◽

D. E. Philips ◽

J. H. Rogers

Keyword(s):

Endotracheal Tube ◽

Endotracheal Intubation ◽

Rare Complication ◽

Relative Importance ◽

Prolonged Intubation ◽

Local Factors ◽

Systemic Factors

AbstractInter-arytenoid glottic bar is a rare complication of prolonged endotracheal intubation. We present two such cases and their treatment.The aetiology of this complication is multifactorial and involves local factors—local tauma, movement of the endotracheal tube within the larynx, infection, and anatomical influences–together with systemic factors such as in our two cases.The relative importance of these factors is discussed.A comment is also made on the use of a pre-operative topogram and the importance of an ENT assessment in patients with airway problems following prolonged intubation.

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