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Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication
Gaspar, Márcio Teodoro da Costa; Maximiano, Linda Ferreira; Minamoto, Hélio; Otoch, Jose Pinhata.
  • Gaspar, Márcio Teodoro da Costa; Clinica Multiperfil. General Surgery Service. Luanda. AO
  • Maximiano, Linda Ferreira; Universidade de São Paulo. Hospital Universitário. Surgery Division. São Paulo. BR
  • Minamoto, Hélio; Universidade de São Paulo. Heart Institute. Thoracic Surgery Service. São Paulo. BR
  • Otoch, Jose Pinhata; Universidade de São Paulo. Hospital Universitário. Surgery Division. São Paulo. BR
Autops. Case Rep ; 9(1): e2018072, Jan.-Mar. 2019. ilus
Article in English | LILACS | ID: biblio-987500
ABSTRACT
Endotracheal intubation injuries are rare, but may be devastating­mostly among the pediatric patients or when these occur in the distal trachea. Such complications typify a therapeutic challenge, which, besides requiring intellectual and technical resources, takes a long time to reach a resolution. The authors present the case of a 15-year-old girl admitted with an abnormal state of consciousness due to diabetic ketoacidosis. She was submitted to endotracheal intubation with hyperinflation of the tube cuff, which rendered tracheal necrosis and detachment of the tracheal mucosa, and consequent obstruction. Later, she developed scarring retraction and stenosis. The patient was successfully treated with an endotracheal prosthesis insertion. The aim of this report is to illustrate a preventable complication.
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Full text: Available Index: LILACS (Americas) Main subject: Tracheal Stenosis / Intubation, Intratracheal Limits: Adolescent / Female / Humans Language: English Journal: Autops. Case Rep Journal subject: Anatomia / Patologia Cl¡nica / Patologia Legal Year: 2019 Type: Article Affiliation country: Angola / Brazil Institution/Affiliation country: Clinica Multiperfil/AO / Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Tracheal Stenosis / Intubation, Intratracheal Limits: Adolescent / Female / Humans Language: English Journal: Autops. Case Rep Journal subject: Anatomia / Patologia Cl¡nica / Patologia Legal Year: 2019 Type: Article Affiliation country: Angola / Brazil Institution/Affiliation country: Clinica Multiperfil/AO / Universidade de São Paulo/BR