title: Endobronchial rupture from endotracheal reintubation with an endotracheal tube guide.
abstract: Endotracheal tube guides are often used to facilitate endotracheal tube exchange in patients whose airways are difficult to intubate. The absence of reported complications with this technique suggests it is a safe technique; however, we report a case of endobronchial rupture associated with such a guide. Diagnosis and management of tracheobronchial tears and alternative approaches to difficult reintubation are described.
authors.affiliation: Department of Anesthesiology, University of Florida College of Medicine, Gainesville.
authors.forename: P A
authors.initials: PA
authors.lastname: Seitz
authors.forename: N
authors.initials: N
authors.lastname: Gravenstein
mesh_terms: D000007:Abdominal Injuries / Q000150:complications; D000142:Acidosis, Respiratory / Q000150:complications; D058186:Acute Kidney Injury / Q000150:complications; D000437:Alcoholism / Q000150:complications; D001980:Bronchi / Q000293:injuries*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D008478:Mediastinal Emphysema / Q000150:complications; D008875:Middle Aged; D012421:Rupture; D014948:Wounds, Gunshot / Q000150:complications