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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...

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Related Experiment Video

Updated: Jul 17, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

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Deep neck abscess after intubation trauma: a case report.

Kashyap Kaul1, Chetan S Nayak2, Jessica Jacoby1

  • 1Lehigh Valley Hospital and Health Network, Department of Emergency and Hospital Medicine, University of South Florida Morsani College of Medicine, Lehigh Valley Campus, 2545 Schoenersville Road, 4 Floor, South Wing, Bethlehem, PA, 18107 USA.

Radiology Case Reports
|January 6, 2022
PubMed
Summary

Pharyngeal perforation after endotracheal intubation is rare but can cause serious airway complications. This case highlights the importance of recognizing this injury as a potential source of infection.

Keywords:
Endotracheal intubationIntubation injuryPharyngeal perforationPost-intubation complicationsPyriform sinus perforation

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Area of Science:

  • Otolaryngology
  • Emergency Medicine
  • Anesthesiology

Background:

  • Endotracheal intubation, while common, carries a rare risk of pharyngeal perforation.
  • Pharyngeal perforation can lead to severe complications including abscess formation and compromised airways.

Observation:

  • A 59-year-old male developed a neck mass, fever, and pain post-elective septoplasty with endotracheal intubation.
  • Diagnosis revealed a prevertebral space abscess with airway compromise due to pharyngeal perforation.

Findings:

  • The patient underwent successful operative management and antibiotic treatment.
  • This case underscores the potential for life-threatening airway compromise from rare intubation injuries.

Implications:

  • Emergency physicians should consider pharyngeal perforation in patients with neck infections post-pharyngeal instrumentation.
  • Increased awareness of this complication is crucial for timely diagnosis and management.