Endotracheal tube damage during surgically assisted rapid palatal expansion surgery; a case report

Endotracheal tube damage is a well-known complication of maxillary surgery. We report a case of failure to ventilate due to superficial damage to the tubing between the cuff and pilot balloon in the nasal portion of a north facing Ring, Adair and Elwyn pre-formed endotracheal tube during Surgically...

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Bibliographic Details
Published in:Journal of dental anesthesia and pain medicine: JDAPM Vol. 20; no. 1; pp. 45 - 47
Main Author: Badger, James
Format: Journal Article
Language:English
Published: Korea (South) The Korean Dental Society of Anesthsiology 01.02.2020
대한치과마취과학회
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ISSN:2383-9309, 2383-9317
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Summary:Endotracheal tube damage is a well-known complication of maxillary surgery. We report a case of failure to ventilate due to superficial damage to the tubing between the cuff and pilot balloon in the nasal portion of a north facing Ring, Adair and Elwyn pre-formed endotracheal tube during Surgically Assisted Rapid Palatal Expansion surgery. The endotracheal tube was replaced uneventfully and surgery completed successfully. On reflection, we feel that that the vulnerable position of the cuff-pilot tubing significantly contributed to this critical incident and suggest that increased recognition of this is vital for the prevention of such cases in the future.
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https://doi.org/10.17245/jdapm.2020.20.1.45
ISSN:2383-9309
2383-9317
DOI:10.17245/jdapm.2020.20.1.45