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Case Report
 
Intraoral kinking of an endotracheal tube during position change in a patient with tracheal deviation
 
Jihyoung Park1, Kwang Ho Lee2, Wikwang Wang3, Sang Woo Jung3, June Ho Choi3, Hyun Kyo Lim2
 
1Clinical fellow, Anesthesiology and Pain Medicine, Wonju Severance Christian Hospital, Wonju, Gangwon-do, Republic of Korea
2Professor, Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Gangwon-do, Republic of Korea
3Resident, Anesthesiology and Pain Medicine, Wonju Severance Christian Hospital, Wonju, Gangwon-do, Republic of Korea

Article ID: 100043CRINTJP2018
doi: 10.5348/crint-2018-43-CR

Corresponding Author:
Hyun Kyo Lim,
20, Ilsan-ro, Wonju,
Gangwon-do,
Republic of Korea, 26426
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How to cite this article
Park J, Lee KH, Wang W, Jung SW, Choi JH, Lim HK. Intraoral kinking of an endotracheal tube during position change in a patient with tracheal deviation. Case Rep Int 2018;7:100043CRINTJP2018.


ABSTRACT
Introduction: The maintenance of ventilation through the endotracheal tube during surgery is essential, and failure to do so can cause serious consequences.
Case Report: We experienced a case of intraoral kinking of the polyvinyl chloride, single-lumen endotracheal tube (ETT) in a patient with severe tracheal deviation caused by pulmonary tuberculosis. During surgery, the operation table was tilted upward and to the left, which caused change in patient’s head position and led to intraoral kinking.
Conclusion: If there is a severe tracheal deviation expected to cause deformity of the ETT, it is recommended to use a reinforced tube.

Keywords: Anesthesia complication, Kinking of endotracheal tube, Temperature, Tracheal deviation


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Author Contributions
Jihyoung Park – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kwang Ho Lee – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Wikwang Wang – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Sang Woo Jung – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
June Ho Choi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hyun Kyo Lim – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Jihyoung Park et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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