Direct Laryngoscopy and Endotracheal Intubation Complicated by Anterior Tracheal Laceration Secondary to Protrusion of Preloaded Endotracheal Tube Stylet

Matthew Warner, Jonathan F. Fox

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Tracheal wall disruption is a rare complication of endotracheal intubation, typically occurring in the posterior (membranous) trachea lacking cartilaginous support. We present the case of a 68-year-old man who developed an anterior tracheal tear after routine endotracheal intubation, most likely occurring secondary to protrusion of a factory-preloaded stylet beyond the distal orifice of the endotracheal tube. Tracheal disruption should be considered in any patient with subcutaneous emphysema and respiratory distress after tracheal extubation and confirmed with bronchoscopy. Conservative management may be appropriate for those with small tears, hemodynamic stability, and the ability to isolate the tear from positive pressure ventilation.

Original languageEnglish (US)
Pages (from-to)77-79
Number of pages3
JournalA & A case reports
Volume6
Issue number4
DOIs
StatePublished - Feb 15 2016

ASJC Scopus subject areas

  • Medicine(all)

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