Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess
Intraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is...
| 發表在: | Case Reports in Pediatrics |
|---|---|
| Main Authors: | , , |
| 格式: | Article |
| 語言: | 英语 |
| 出版: |
Wiley
2017-01-01
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| 在線閱讀: | http://dx.doi.org/10.1155/2017/1848945 |
| _version_ | 1849633436060352512 |
|---|---|
| author | Dennis B. Thapa Nathaniel H. Greene Andrea G. Udani |
| author_facet | Dennis B. Thapa Nathaniel H. Greene Andrea G. Udani |
| author_sort | Dennis B. Thapa |
| collection | DOAJ |
| container_title | Case Reports in Pediatrics |
| description | Intraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving this in situations where reintubation would be difficult or unsafe. This case report discusses such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated a pathway based on various case reports involving complete ETT obstruction. |
| format | Article |
| id | doaj-art-ffa42ced43db49c3bb34a57df4e913f4 |
| institution | Directory of Open Access Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| spelling | doaj-art-ffa42ced43db49c3bb34a57df4e913f42025-08-20T02:22:50ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/18489451848945Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal AbscessDennis B. Thapa0Nathaniel H. Greene1Andrea G. Udani2Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USADepartment of Anesthesiology, Duke University School of Medicine, Durham, NC, USADepartment of Anesthesiology, Duke University School of Medicine, Durham, NC, USAIntraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving this in situations where reintubation would be difficult or unsafe. This case report discusses such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated a pathway based on various case reports involving complete ETT obstruction.http://dx.doi.org/10.1155/2017/1848945 |
| spellingShingle | Dennis B. Thapa Nathaniel H. Greene Andrea G. Udani Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title | Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title_full | Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title_fullStr | Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title_full_unstemmed | Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title_short | Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess |
| title_sort | complete obstruction of endotracheal tube in an infant with a retropharyngeal and anterior mediastinal abscess |
| url | http://dx.doi.org/10.1155/2017/1848945 |
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