Wang Ting-Ting, Wang Jiang, Sun Ting-Ting, Hou Yu-Ting, Lu Yao, Chen Shan-Gui
Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China.
Department of Infectious Disease, The First Affiliated Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China.
World J Clin Cases. 2022 May 16;10(14):4594-4600. doi: 10.12998/wjcc.v10.i14.4594.
During the perianesthesia period, emergency situations threatening the life and safety of patients can occur at any time. When dealing with some emergencies, occasional confusion is inevitable.
This case report describes the rare situation wherein a surgeon inadvertently detached the inflatable tube of an endotracheal tube during a tonsillectomy, and positive pressure ventilation could not be provided. While reintubation may increase the risk of respiratory tract infection and aspiration, patients with a difficult airway might die due to apnea. The best treatment method is to optimize the damaged tracheal tube junction to avoid secondary intubation and ensure patient safety. An intravenous needle and cannula were used to repair the damaged gap in the current case. Following the repair, the anesthesia machine showed no indication of low tidal volume, and there was no deflation of the endotracheal tube cuff. Subsequently, the patient was transferred to the post-anesthesia recovery room, and the tracheal tube was removed with satisfactory results.
Using an intravenous needle to repair a break in the inflatable tube surrounding an endotracheal tube is safe and reliable.
在麻醉期间，随时可能发生威胁患者生命安全的紧急情况。在处理某些紧急情况时，偶尔出现混乱是不可避免的。
本病例报告描述了一种罕见情况，即在扁桃体切除术中，外科医生无意中分离了气管内导管的充气管，导致无法进行正压通气。虽然再次插管可能会增加呼吸道感染和误吸的风险，但气道困难的患者可能会因呼吸暂停而死亡。最佳治疗方法是优化受损的气管导管连接处，避免二次插管并确保患者安全。在本病例中，使用静脉注射针和套管修复了受损间隙。修复后，麻醉机未显示潮气量低的迹象，气管内导管套囊也未出现漏气。随后，患者被转移至麻醉后恢复室，并顺利拔除气管导管。
使用静脉注射针修复气管内导管周围充气管的破损安全可靠。
