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Anesth Analg 2003;97:909-910
© 2003 International Anesthesia Research Society

GENERAL ARTICLES

Failure to Detect an Unusual Obstruction in a Reinforced Endotracheal Tube with Fiberoptic Examination

Matthias Paul, MD DEAA, Michael Dueck, MD DEAA, Sandra Kampe, MD, and Frank Petzke, MD

Department of Anesthesia and Intensive Care Medicine, University of Cologne, Cologne, Germany

Address correspondence and reprint requests to Matthias Paul, MD, DEAA, Department of Anesthesia and Intensive Care Medicine, University of Cologne, Joseph-Stelzmann-Str. 9, D-50924 Cologne, Germany. Address e-mail to m.paul{at}uni-koeln.de

IMPLICATIONS: This report describes an unusual obstruction of a reinforced endotracheal tube caused by a partial detachment of the inner coating from the embedded spiral. Fiberoptic inspection is a recommended procedure for a suspected obstruction, but failed to identify this valve-like detachment. This detachment was likely caused by re-autoclavation of the tube, which was a specified single-use product.




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The LMA FastrachTM facilitates fibreoptic intubation in oral cancer patients: [Le ML FastrachTM facilite l'intubation fibroscopique dans les cas de cancer de la bouche]
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[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.