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Tytuł pozycji:

Complete Endotracheal Tube Transection by Patient Bite: A Case Report and Algorithm for Fragment Identification and Extraction.

Tytuł:
Complete Endotracheal Tube Transection by Patient Bite: A Case Report and Algorithm for Fragment Identification and Extraction.
Autorzy:
Ilg A; From the Department of Emergency Medicine.; Department of Anesthesia, Critical Care & Pain Medicine.
Eikermann M; Department of Anesthesia, Critical Care & Pain Medicine.
Synn AJ; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Źródło:
A&A practice [A A Pract] 2021 Mar 19; Vol. 15 (3), pp. e01428. Date of Electronic Publication: 2021 Mar 19.
Typ publikacji:
Case Reports; Journal Article
Język:
English
Imprint Name(s):
Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2018]-
MeSH Terms:
Intubation, Intratracheal*/adverse effects
Respiration, Artificial*
Algorithms ; Humans ; Positive-Pressure Respiration ; Ventilator Weaning
References:
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Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet. 2008; 371:126–134.
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Colt HG, Harrell JH. Therapeutic rigid bronchoscopy allows level of care changes in patients with acute respiratory failure from central airways obstruction. Chest. 1997; 112:202–206.
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Entry Date(s):
Date Created: 20210319 Date Completed: 20210728 Latest Revision: 20210728
Update Code:
20240105
DOI:
10.1213/XAA.0000000000001428
PMID:
33740790
Czasopismo naukowe
We describe a case of a complete endotracheal tube (ETT) transection due to patient bite. The patient was intubated for postoperative pneumonia; during weaning of sedation, the patient was unable to tolerate pressure support ventilation (PSV) due to agitation. Adaptive support ventilation (ASV) improved patient comfort substantially. During a routine Spontaneous Breathing Trial (SBT) on PSV, the patient bit through the ETT, resulting in complete transection and an unsecured 20-cm airway fragment. Utilizing a multidisciplinary approach, we provided respiratory support and performed nasopharyngolaryngoscopy (NPL) to identify and extract the foreign body. An algorithm for management of ETT fragment extraction is provided.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2021 International Anesthesia Research Society.)

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