Peduto V A, Toscano A, Loche F
Istituto di Anestesiologia e Rianimazione, Università di Cagliari.
Minerva Anestesiol. 1994 Apr;60(4):207-10.
Immediately following delivery a newborn infant was severely depressed. Because no respiratory effort was made and copious mucus was present, a Cole endotracheal tube was easily inserted into the trachea. Because of a mistaken manoeuvre for fastening the tube, the plastic adapter connection became dislodged from the tube, and the tube slipped out of trachea. The physician's gloved fingers could not maintain traction on the tube because of the excessive amount of mucus, and face mask ventilation made easier the slipping into the distal oesophagus. A second endotracheal tube was then properly placed in the trachea and the infant responded. The misplaced tube was removed from the oesophagus using a small, flexible biopsy forceps closed, advanced into the lumen of the swallowed tube under fluoroscopic vision. By opening the forceps, gripping the tube tightly from within, it was easily withdrawn. No adverse effects were observed.
新生儿出生后立即出现严重抑制状态。由于未进行呼吸努力且有大量黏液，一根科尔气管内导管很容易就插入了气管。由于固定导管时操作失误，塑料适配器接头从导管上脱落，导管也从气管滑出。由于黏液过多，医生戴手套的手指无法保持对导管的牵引，面罩通气使得导管更容易滑入远端食管。随后第二根气管内导管正确置入气管，婴儿有了反应。使用一把闭合的小型柔性活检钳，在荧光透视下将误置入食管的导管取出。通过打开活检钳，从内部紧紧夹住导管，导管很容易就被拔出。未观察到不良反应。
