Related Experiment Video

Updated: Aug 23, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

3.4K

Endotracheal Tube Kinking in the Prone Position during Pediatric Neurosurgery: A Case Report

Laura E Gilbertson1,2, Michael Morgan3, Humphrey V Lam1,2

  • 1Department of Anesthesiology and Pain Medicine, Emory University, Atlanta, GA 30322, USA.

Children (Basel, Switzerland)
|October 27, 2022
PubMed

Insights

Pediatric patients in the prone position may experience endotracheal tube kinking, a rare but serious complication. Anesthesiologists should consider reinforced tubes or nasotracheal intubation to prevent this during neck flexion.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Prone positioning in pediatric anesthesia presents challenges including injury prevention, airway security, and access.
  • Endotracheal tube kinking is a rarely discussed but significant risk during prone procedures in children.

Observation:

  • A case report details anesthetic management for a pediatric patient undergoing posterior fossa mass resection in the prone position.
  • The patient experienced endotracheal tube kinking during the procedure.

Findings:

  • Endotracheal tube kinking is a potential risk in pediatric patients undergoing surgery in the prone position with significant neck flexion.
  • Awareness and preventative strategies are crucial for pediatric anesthesiologists.

Implications:

  • Reinforced endotracheal tubes or nasotracheal intubation are recommended to mitigate the risk of intraoperative tube kinking.
  • This highlights the need for vigilance regarding airway complications in prone pediatric anesthesia.
Abstract

Keywords:
endotracheal tube kinkingpediatric anesthesiaposterior fossa surgeryprone position

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.6K
The Rigid Tube as an Alternative in Controlling the Problematic Airway08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

6.5K

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...
2.4K
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...
1.1K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
945
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....
1.2K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
338
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.5K