KMID : 1155520070020020082
|
|
Anesthesia and Pain Medicine 2007 Volume.2 No. 2 p.82 ~ p.84
|
|
Complete Endotracheal Tube Obstruction with Mucus during Anesthesia in a Child with Upper Respiratory Tract Infection -A case report-
|
|
Han Jong-In
Kim Chi-Hyo Lee Sang-Hyun
|
|
Abstract
|
|
|
We report here on a case of obstruction of a reinforced endotracheal tube (4.5 mm) with purulent bronchial secretions during performance of myringotomy and a pharyngeal flap operation under general anesthesia.This 4 year-old child, who had had a history of upper respiratory tract infection (URI), had been referred to a pediatrician before surgery and the baby was deemed to be well without any URI symptoms.But failure to achieve ventilation along with high end-tidal carbon dioxide tension and the inability to pass the catheter tip through the endotracheal tube were noticed 30 minute after the induction of anesthesia.We exchanged the tube for a 4.5 mm RAE tube and we found the reinforced tube was completely occluded by purulent secretions.After exchange of the tube, the patient¡¯s ventilation was improved immediately, but further surgical procedures were canceled by the plastic surgeon. (Anesth Pain Med 2007; 2: 82¡84)
|
|
KEYWORD
|
|
airway obstruction, pediatrics, tracheal intubation, upper respiratory tract infection.
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|