Entrapped tracheal tube, an unusual cause of extubation failure following tracheal resection and reconstruction

On the scheduled day of surgery, under standard monitoring after intrvenous induction, tracheostomy tube was exchanged to 6 mm internal diameter armored cuffed TT and controlled ventilation was started. [3] Such scenarios are potentially dangerous as forceful attempts to extubate may results in anas...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2020-04, Vol.23 (2), p.250-251
Main Authors: Pranit, Patil, Sakthirajan, Panneerselvam, Priya, Rudingwa
Format: Article
Language:English
Subjects:
Catheters
Extubation
Larynx
Letters to Editor
Ostomy
Polyvinyl chloride
Pulmonary arteries
Respiratory therapy
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Description
Summary:On the scheduled day of surgery, under standard monitoring after intrvenous induction, tracheostomy tube was exchanged to 6 mm internal diameter armored cuffed TT and controlled ventilation was started. [3] Such scenarios are potentially dangerous as forceful attempts to extubate may results in anastomotic breakdown and precipitate acute respiratory failure. Avoiding forceful removal, confirming free movement of medical devices before the application of final surgical sutures, and surgical re-exploration were also described to prevent catastrophic bleeding by case reports mentioning entrapment of central venous catheter and pulmonary artery catheter in cardiac surgical settings.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_198_18