Dynamic intraoperative kinking of flexometallic tube.
A 22-year-old male patient had two episodes of oxygen desaturation with concomitant increase in end-tidal carbon dioxide and airway pressure while undergoing transoral odontoidectomy under fluoroscopy. Dynamic kinking of the flexometallic endotracheal tube from compression by a Dingman retractor was responsible. Fluoroscopic imaging was helpful in confirming the etiology of sudden alteration in the monitoring parameters.
Kumar
A
A
Department of Neuroanesthesiology, A.I.I.M.S., New Delhi, India.
Dash
H H
HH
D000328:Adult; D004868:Equipment Failure; D005471:Fluoroscopy; D006801:Humans; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D008297:Male; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures / Q000379:methods*; D009809:Odontoid Process / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D010146:Pain