Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Authors

  • Márcio Teodoro da Costa Gaspar Clinica Multiperfil, General Surgery Service https://orcid.org/0000-0002-5439-7328
  • Linda Ferreira Maximiano Universidade de São Paulo (USP), Hospital Universitário, Surgery Division
  • Hélio Minamoto Universidade de São Paulo (USP), Heart Institute, Thoracic Surgery Service
  • Jose Pinhata Otoch Universidade de São Paulo (USP), Hospital Universitário, Surgery Division

DOI:

https://doi.org/10.4322/acr.2018.072

Keywords:

Tracheal Stenosis, Intubation, Endotracheal, Prosthesis Implantation

Abstract

Endotracheal intubation injuries are rare, but may be devastating—mostly 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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Published

2019-08-14

How to Cite

Gaspar, M. T. da C., Maximiano, L. F., Minamoto, H., & Otoch, J. P. (2019). Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication. Autopsy and Case Reports, 9(1), e2018072. https://doi.org/10.4322/acr.2018.072

Issue

Section

Article / Clinical Case Report