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Pharyngeal trauma from endotracheal intubation in a colt

K A Brock

    Journal of the American Veterinary Medical Association
    |November 1, 1985
    PubMed

    Insights

    A pharyngeal perforation in a young colt, likely from endotracheal intubation, led to severe complications. Despite treatment, the colt developed cervical cellulitis, pleuritis, and pneumonia, proving fatal.

    Area of Science:

    • Veterinary Medicine
    • Equine Surgery
    • Anesthesiology

    Background:

    • Endotracheal intubation is a common procedure in equine anesthesia.
    • Complications, though rare, can arise from airway manipulation.
    • Pharyngeal perforation is a serious potential iatrogenic injury.

    Observation:

    • A healthy 4 1/2-month-old colt underwent inhalation anesthesia for elective surgery.
    • The colt developed acute cervical cellulitis, pleuritis, and pneumonia post-operatively.
    • The clinical signs suggested a pharyngeal perforation secondary to intubation.

    Findings:

    • Pharyngeal perforation was diagnosed in the colt.
    • The perforation was strongly suspected to be associated with endotracheal intubation.
    • The colt's condition rapidly deteriorated despite antibacterial and supportive care.

    Implications:

    • This case highlights the risk of pharyngeal perforation during equine endotracheal intubation.
    • Early recognition and aggressive management are crucial for potential positive outcomes.
    • Veterinary anesthesiologists must remain vigilant for this rare but severe complication.

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