Unnoticed breakage of airway exchange catheter during nasal endotracheal tube exchange
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20243525Keywords:
Nasal intubation, Airway exchange catheter, Breakage, Rigid bronchoscopy, RetrievalAbstract
During unanticipated difficult intubation, amidst the various attempts and techniques, the anaesthesiologist tries using various airway adjuvants to facilitate endotracheal intubation. After successful intubation, seldom do we check the integrity of adjuvants used. Our case report emphasizes on the need of checking integrity of airway adjuvants after their use in emergency situations. In addition, the report also highlights the fact that, adjuvants on the difficult airway cart must be checked daily for quality, friability, stickiness, any cracks, bends, damages, pliability, their mere presence on difficult airway cart is of little significance.
Metrics
References
Airway Exchange. Airway Management. Cook. Cookmedical.com, 2021. Available at: https://airwaymanagement.cookmedical.com/airway-exchange/. Accessed on 25 September 2024.
Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia. 2012 ;67(3):318-40.
Myatra S, Shah A, Kundra P, Patwa A, Ramkumar V, Divatia J, et al. All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in adults. Indian J Anaesth. 2016;60(12):885-98.
Batuwitage B, Charters P. Postoperative management of the difficult airway. BJA Education. 2017;17(7):235-41.
Rashid AM, Williams C, Noble J, Rashid OM, Kazuaki T, Anand RJ. Pneumothorax, an underappreciated complication with an airway exchange catheter. J Thoracic Dis. 2012;4(6):1.
Duggan LV, Kiely Law J, Murphy MP. Brief review: Supplementing oxygen through an airway exchange catheter: efficacy, complications, and recommendations. Canad J Anaesthesia. 2011;58(6):560-8.
Nunn C, Uffman J, Bhananker SM. Bilateral tension pneumothoraces following jet ventilation via an airway exchange catheter. J Anesthesia. 2007;21(1):76-9.
Cook T, Kristensen MS. Core Topics in Airway Management. Cambridge University Press. 2020.
Kumar P, Singhal S, Malhotra N, Yadav N. Broken Airway Exchange Catheter-A Rare and Serious Complication. Ann Int Med Dental Res. 2018;4(6):25-6.
Sriramka B, Swaro S, Samal R. Fragmentation of airway tube exchange catheter: A dangerous situation. Saudi J Anaesth 2023;17(3):440-1.
Shaikh N, Mahmood K, Wafa AA, Kokash O. Endotracheal tube exchange and pneumothorax: A case report. Case Rep Clin Med. 2013;2(2):183-5.
Almedia J, Hajjar LA, Fukushima JT, Nakamura RE, Albertini R, Regina F. Bronchial Injury and Pneumothorax after Reintubation using an Airway Exchange Catheter. Revista Brasileira De Anestesiologia. 2013;63(1):107- s12.
Harris K, Chalhoub M, Maroun R, Elsayegh D. Endotracheal tube exchangers: Should we look for safer alternatives? Heart Lung. 2012;41(1):67-9.
Nates JL, Berner DK. Mishapsw with Endotracheal Tube Exchangers In ICU: Two Case Reports and Review Of The Literature. Internet J Anesthesiol. 1999;5(1):10.
Foglia J, Guy J. An underappreciated risk of an airway exchange catheter. Can J Anesthesia. 2019;67(4):491-2.
McLean S, Lanam CR, Benedict W, Kirkpatrick N, Kheterpal S, Ramachandran SK. Airway Exchange Failure and Complications with the Use of the Cook Airway Exchange Catheter®. Anesthes Analgesia. 2013;117(6):1325-7.