Gaspar MTDC, Maximiano LF, Minamoto H, Otoch JP. Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication.
AUTOPSY AND CASE REPORTS 2019;
9:e2018072. [PMID:
30863738 PMCID:
PMC6394355 DOI:
10.4322/acr.2018.072]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 10/08/2018] [Indexed: 11/23/2022] Open
Abstract
Endotracheal intubation injuries are rare, but may be devastating-mostly among the pediatric patients or when these occur in the distal trachea. Such complications typify a therapeutic challenge, which, besides requiring intellectual and technical resources, takes a long time to reach a resolution. The authors present the case of a 15-year-old girl admitted with an abnormal state of consciousness due to diabetic ketoacidosis. She was submitted to endotracheal intubation with hyperinflation of the tube cuff, which rendered tracheal necrosis and detachment of the tracheal mucosa, and consequent obstruction. Later, she developed scarring retraction and stenosis. The patient was successfully treated with an endotracheal prosthesis insertion. The aim of this report is to illustrate a preventable complication.
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