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Tytuł:
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Complete Endotracheal Tube Transection by Patient Bite: A Case Report and Algorithm for Fragment Identification and Extraction.
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Autorzy:
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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.
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Źródło:
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A&A practice [A A Pract] 2021 Mar 19; Vol. 15 (3), pp. e01428. Date of Electronic Publication: 2021 Mar 19.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2018]-
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MeSH Terms:
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Intubation, Intratracheal*/adverse effects
Respiration, Artificial*
Algorithms ; Humans ; Positive-Pressure Respiration ; Ventilator Weaning
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References:
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Entry Date(s):
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Date Created: 20210319 Date Completed: 20210728 Latest Revision: 20210728
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Update Code:
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20240105
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DOI:
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10.1213/XAA.0000000000001428
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PMID:
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33740790
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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.)