A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus

Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an inten...

Full description

Bibliographic Details
Main Authors:	Susie Yoon, Hyunjung Choo, Se Eun Kim, Heeyeon Kwon, Hannah Lee
Format:	Article
Language:	English
Published:	Korean Society of Critical Care Medicine 2017-02-01
Series:	Korean Journal of Critical Care Medicine
Subjects:	airway obstruction bronchoscopy intubation, intratracheal prone position
Online Access:	http://www.kjccm.org/upload/pdf/kjccm-2016-00437.pdf

id	doaj-d82c278518384fa29e3d35c00afaae61
record_format	Article
spelling	doaj-d82c278518384fa29e3d35c00afaae612020-11-24T21:06:49ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892017-02-01321707310.4266/kjccm.2016.004371048A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main BronchusSusie Yoon0Hyunjung Choo1Se Eun Kim2Heeyeon Kwon3Hannah Lee4 Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, KoreaReinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient’s right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.http://www.kjccm.org/upload/pdf/kjccm-2016-00437.pdfairway obstructionbronchoscopyintubation, intratrachealprone position
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Susie Yoon Hyunjung Choo Se Eun Kim Heeyeon Kwon Hannah Lee
spellingShingle	Susie Yoon Hyunjung Choo Se Eun Kim Heeyeon Kwon Hannah Lee A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus Korean Journal of Critical Care Medicine airway obstruction bronchoscopy intubation, intratracheal prone position
author_facet	Susie Yoon Hyunjung Choo Se Eun Kim Heeyeon Kwon Hannah Lee
author_sort	Susie Yoon
title	A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_short	A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_full	A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_fullStr	A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_full_unstemmed	A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus
title_sort	reinforced endotracheal tube completely severed by a patient bite and lodged in the right main bronchus
publisher	Korean Society of Critical Care Medicine
series	Korean Journal of Critical Care Medicine
issn	2383-4870 2383-4889
publishDate	2017-02-01
description	Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient’s bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient’s right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.
topic	airway obstruction bronchoscopy intubation, intratracheal prone position
url	http://www.kjccm.org/upload/pdf/kjccm-2016-00437.pdf
work_keys_str_mv	AT susieyoon areinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT hyunjungchoo areinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT seeunkim areinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT heeyeonkwon areinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT hannahlee areinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT susieyoon reinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT hyunjungchoo reinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT seeunkim reinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT heeyeonkwon reinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus AT hannahlee reinforcedendotrachealtubecompletelyseveredbyapatientbiteandlodgedintherightmainbronchus
_version_	1716764631026892800

A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus

Similar Items