Ischemic subglottic damage following a short-time intubation

Eur J Emerg Med. 2008 Dec;15(6):351-3. doi: 10.1097/MEJ.0b013e3282fc9c5d.

Abstract

The objective of this study is to report a case of ischemic subglottic damage after a short-time intubation with a large, overinflated endotracheal tube cuff in a child. The study uses individual case report. A 6-year-old boy was admitted to the pediatric intensive care unit after a head trauma intubated with a 5.5-mm inner diameter cuffed endotracheal tube overinflated with 16 ml of air that produced a pressure of more than 120 cm H2O. The endotracheal tube cuff pressure produced by inflation was reduced after 4 h. The child presented postextubation stridor with subglottic edema. Inappropriate handling of tracheal intubation without accurate measurement of endotracheal tube size and intracuff pressures of endotracheal tubes, can cause airway trauma and place patients at risk.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Brain Injuries / therapy*
  • Child
  • Critical Care / methods*
  • Epinephrine / therapeutic use
  • Humans
  • Intensive Care Units, Pediatric*
  • Intubation, Intratracheal / adverse effects*
  • Ischemia / etiology*
  • Male
  • Time Factors
  • Vasoconstrictor Agents / therapeutic use

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Vasoconstrictor Agents
  • Epinephrine