Bamgbade OA, Magboh VO, Otegbeye AU, King MB, Oluwole OJ, Olatunji BT. Difficult tracheal extubation due to endotracheal tube malfunction: A challenge during the COVID-19 pandemic.
J Taibah Univ Med Sci 2021;
16:935-937. [PMID:
34121980 PMCID:
PMC8184289 DOI:
10.1016/j.jtumed.2021.05.002]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 05/01/2021] [Accepted: 05/08/2021] [Indexed: 12/03/2022] Open
Abstract
Tracheal extubation is an aerosol-generating medical procedure. Difficult tracheal extubation is a serious complication that increases the risk of respiratory aerosol and pathogen spread, especially during the COVID-19 pandemic. The management of difficult extubation is potentially even more challenging during the pandemic. We report two cases of difficult extubation due to endotracheal tube cuff malfunction during the COVID-19 pandemic. Special airway maneuvers and infection control measures were employed to successfully manage the unexpected dilemma. This case series highlights the risk of COVID-19 virus transmission during difficult extubation. This report describes the preventive and reactive management of difficult extubation.
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