AN UNUSUAL CASE OF DIFFICULT EXTUBATION

Authors

  • Pramesh Sunder Shrestha Department of Critical Care Medicine, Om Hospital and Research Center, Kathmandu, Nepal
  • Bipin Karki Department of Critical Care Medicine, Om Hospital and Research Center, Kathmandu, Nepal
  • Subhash Acharya Department of Anaesthesiology TU Teaching Hospital, IOM Maharajgunj Medical Campus Kathmandu, Nepal
  • Ninadini Shrestha Department of Anaesthesiology TU Teaching Hospital, IOM Maharajgunj Medical Campus Kathmandu, Nepal

Abstract

We report a case of difficult extubation in a child due to failure of cuff deflation. Various reports have been mentioned in literature about difficulty in removal of the endotracheal tube due to errors like malfunctioning of the pilot balloon or kinking of the tubing of the pilot balloon, very large cuff impinging on the vocal cords, adhesion of tracheal tube to the tracheal wall due to transfixation by suture or metallic wire. The objective of this case report is to highlight the importance of rare but life threatening complications that can occur in case of failure of cuff deflation.

Keywords: Difficult, Endotracheal tube, Extubation, Pilot balloon

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Published

2018-01-05

How to Cite

1.
Shrestha PS, Karki B, Acharya S, Shrestha N. AN UNUSUAL CASE OF DIFFICULT EXTUBATION. Nepalese J ENT Head Neck Surg [Internet]. 2018 Jan. 5 [cited 2026 Apr. 26];8(2):20-1. Available from: https://www.njehns.org.np/index.php/njehns/article/view/188

Issue

Vol. 8 No. 2 (2017)

Section

Case Reports

License

Copyright (c) 2018 Nepalese Journal of ENT Head & Neck Surgery

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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