Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjan.2012.07.008
Brazilian Journal of Anesthesiology
Miscellaneous

Dissecção da parede interna de tubo endotraqueal aramado que causa obstrução das vias aéreas no intraoperatório sob anestesia geral: relato de caso

The dissection of reinforced endotracheal tube internal wall causing intraoperative airway obstruction under general anesthesia: case report

Esra Mercanoglu; Derya Topuz; Nur Kaya

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Resumo

A intubação endotraqueal é feita para estabelecer uma via aérea segura; contudo, pode trazer riscos. A obstrução de um tubo endotraqueal (TET) é um evento potencialmente fatal. Relatamos dois casos de obstrução de TET reesterilizado, de uso único, aramado por causa da dissecção da parede interna. Como conclusão, sugerimos não reesterilizar tubos individuais em tais casos, para evitar uma complicação como dissecção da parede interna do tubo, pois essa foi a causa principal.

Palavras-chave

ANESTESIA, Geral, COMPLICAÇÕES, Falha, EQUIPAMENTOS, Tubo traqueal, Reutilização de Equipamento

Abstract

Endotracheal intubation is performed to establish a secure airway. However, this carries its risks and obstruction of an endotracheal tube (ETT) is a potentially life-threatening event. We report two cases with an obstruction of the resterilized, single use, spiral, reinforced endotracheal tubes by dissection of the internal wall. As a conclusion, we suggest not reusing and resterilizing single tubes in these cases to avoid a complication like dissection of the internal wall of the tube, as this has been the main cause.

Keywords

Endotracheal tube, Inner wall dissection, Case report, General anesthesia

References

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