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KMID : 0604020170320010070
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Korean Journal of Critical Care Medicine
2017 Volume.32 No. 1 p.70 ~ p.73
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A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
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Yoon Su-Sie
Choo Hyun-Jung
Kim Se-Eun
Kwon Hee-Yeon
Lee Han-Nah
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Abstract
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Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient’s right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.
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KEYWORD
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airway obstruction, bronchoscopy, intubation, intratracheal, prone position
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