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A rare case of nonresterilized reinforced ETT obstruction caused by a structural defect: A case report
Sang Ho Kim1, A Yeon Park, Ho Bum Cho
1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Seoul, Hannam-dong, Yongsan-gu, Seoul, Korea.
Rationale:
Various factors can cause ventilatory failure after endotracheal tube (ETT) intubation, which is associated with increased patient morbidity and mortality.
Patient Concerns:
A 76-year-old woman who was diagnosed with a hemopericardium and suspicion of a major-vessel injury due to dislocation of the clavicular fracture fixation screw.
Diagnosis:
Non-resterilized reinforced ETT obstruction caused by a structural defect.
Intervention:
Endotracheal tube was exchanged.
Outcomes:
The ventilator profile showed rapid improvement.
Lessons:
Anesthesiologists should consider that a non-resterilized reinforced ETT may be defective. An ETT defect can cause high PIP and ETT obstruction without kinking or foreign materials.
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