Endotracheal tube connector defect causing airway obstruction in a child

If successful intubation is followed by difficulty in ventilating the patient, certain conditions such as acute bronchospasm, tension pneumothorax, endobronchial mass lesion, poor pulmonary compliance, kinking and defects of endotracheal tube (ETT) and anaesthesia delivery system malfunction should...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2017-12, Vol.61 (12), p.1020-1021
Main Authors: Jain, Nisha, Bhagat, Vidya, Nadkarni, Manali
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Anesthesiology
Catheters
Defects
Letters to Editor
Polyvinyl chloride
Ventilators
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Description
Summary:If successful intubation is followed by difficulty in ventilating the patient, certain conditions such as acute bronchospasm, tension pneumothorax, endobronchial mass lesion, poor pulmonary compliance, kinking and defects of endotracheal tube (ETT) and anaesthesia delivery system malfunction should be ruled out. Bag and mask ventilation was performed with Jackson Rees (JR) circuit and trachea intubated with pre-sterile polyvinyl chloride (PVC) uncuffed ETT with internal diameter 4.5 mm. The tube was fixed at 13 cm mark from bevel tip and connected to JR circuit. [...]we tried to pass a 10 F size suction catheter through the ETT tube across the connector to suck out secretions that could be causing the increased airway resistance.
ISSN:0019-5049
0976-2817
DOI:10.4103/ija.IJA_524_17