Morota Tomo, Endou Katsuya, Omizo Hiroshi, Furuta Setsuo, Miyajima Hisashi
Department of Dental Anesthesiology, Aidu Chuo Hospital, Aizuwakamatsu, Japan.
Ask Dental Clinic, Kani, Japan.
Anesth Prog. 2017 Fall;64(3):171-172. doi: 10.2344/anpr-64-03-02.
We report a case of endotracheal tube malfunction, in which the inner surface of the tube peeled off during anesthesia. The patient, a 7-year-old boy, was under general anesthesia for the treatment of multiple dental caries. The damaged tube could have caused respiratory failure, putting the patient's life at risk. We speculate that the use of nitrous oxide was one of the contributing factors to the inner wall detachment. Several additional lessons can be learned from this incident in order to prevent tube-related trouble during an operation.
我们报告一例气管内导管故障病例，该导管在麻醉期间内表面发生剥离。患者为一名7岁男孩，因治疗多发性龋齿接受全身麻醉。损坏的导管可能导致呼吸衰竭，危及患者生命。我们推测氧化亚氮的使用是导致内壁剥离的因素之一。从这起事件中还可以吸取其他一些教训，以防止手术期间出现与导管相关的问题。
