Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Endotracheal intubation injuries are rare, but may be devastating-mostly among the pediatric patients or when these occur in the distal trachea. Such complications typify a therapeutic challenge, which, besides requiring intellectual and technical resources, takes a long time to reach a resolution....

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Bibliographic Details
Published in:Autopsy & case reports 2019-01, Vol.9 (1), p.e2018072
Main Authors: Gaspar, Márcio Teodoro da Costa, Maximiano, Linda Ferreira, Minamoto, Hélio, Otoch, Jose Pinhata
Format: Article
Language:English
Subjects:
Clinical Case Report
Endotracheal
Intubation
Prosthesis Implantation
Tracheal Stenosis
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Summary:Endotracheal intubation injuries are rare, but may be devastating-mostly among the pediatric patients or when these occur in the distal trachea. Such complications typify a therapeutic challenge, which, besides requiring intellectual and technical resources, takes a long time to reach a resolution. The authors present the case of a 15-year-old girl admitted with an abnormal state of consciousness due to diabetic ketoacidosis. She was submitted to endotracheal intubation with hyperinflation of the tube cuff, which rendered tracheal necrosis and detachment of the tracheal mucosa, and consequent obstruction. Later, she developed scarring retraction and stenosis. The patient was successfully treated with an endotracheal prosthesis insertion. The aim of this report is to illustrate a preventable complication.
ISSN:2236-1960
2236-1960
DOI:10.4322/acr.2018.072