Perianesthesia emergency repair of a cut endotracheal tube’s inflatable tube:A case report  

作　　者：Ting-Ting Wang Jiang Wang Ting-Ting Sun Yu-Ting Hou Yao Lu Shan-Gui Chen 

机构地区：[1]Department of Anesthesiology,The First Affiliated Hospital of Anhui Medical University,Hefei 230000,Anhui Province,China [2]Department of Infectious Disease,The First Affiliated Hospital of Anhui Medical University,Hefei 230000,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2022年第14期4594-4600,共7页世界临床病例杂志

摘　　要：BACKGROUND During the perianesthesia period,emergency situations threatening the life and safety of patients can occur at any time.When dealing with some emergencies,occasional confusion is inevitable.CASE SUMMARY This case report describes the rare situation wherein a surgeon inadvertently detached the inflatable tube of an endotracheal tube during a tonsillectomy,and positive pressure ventilation could not be provided.While reintubation may increase the risk of respiratory tract infection and aspiration,patients with a difficult airway might die due to apnea.The best treatment method is to optimize the damaged tracheal tube junction to avoid secondary intubation and ensure patient safety.An intravenous needle and cannula were used to repair the damaged gap in the current case.Following the repair,the anesthesia machine showed no indication of low tidal volume,and there was no deflation of the endotracheal tube cuff.Subsequently,the patient was transferred to the postanesthesia recovery room,and the tracheal tube was removed with satisfactory results.CONCLUSION Using an intravenous needle to repair a break in the inflatable tube surrounding an endotracheal tube is safe and reliable.

关 键 词：Perianesthesia accident Emergency situation Endotracheal tube Inflatable tube TONSILLECTOMY Mechanical ventilation Case report 

分 类 号：R614[医药卫生—麻醉学]