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A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus

Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an inten...

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Detalles Bibliográficos
Autores principales: Yoon, Susie, Choo, Hyunjung, Kim, Se Eun, Kwon, Heeyeon, Lee, Hannah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786742/
https://www.ncbi.nlm.nih.gov/pubmed/31723618
http://dx.doi.org/10.4266/kjccm.2016.00437
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author Yoon, Susie
Choo, Hyunjung
Kim, Se Eun
Kwon, Heeyeon
Lee, Hannah
author_facet Yoon, Susie
Choo, Hyunjung
Kim, Se Eun
Kwon, Heeyeon
Lee, Hannah
author_sort Yoon, Susie
collection PubMed
description Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient’s right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.
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spelling pubmed-67867422019-11-13 A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus Yoon, Susie Choo, Hyunjung Kim, Se Eun Kwon, Heeyeon Lee, Hannah Korean J Crit Care Med Case Report Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient’s right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position. Korean Society of Critical Care Medicine 2017-02 2016-11-14 /pmc/articles/PMC6786742/ /pubmed/31723618 http://dx.doi.org/10.4266/kjccm.2016.00437 Text en Copyright © 2017 The Korean Society of Critical Care Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yoon, Susie
Choo, Hyunjung
Kim, Se Eun
Kwon, Heeyeon
Lee, Hannah
A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_full A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_fullStr A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_full_unstemmed A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_short A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_sort reinforced endotracheal tube completely severed by a patient bite and lodged in the right main bronchus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786742/
https://www.ncbi.nlm.nih.gov/pubmed/31723618
http://dx.doi.org/10.4266/kjccm.2016.00437
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