title: Endotracheal tube exchangers: should we look for safer alternatives?
abstract: Endotracheal tube exchange is considered a simple procedure, performed in cases of endotracheal tube malfunction. It usually involves the use of airway exchange catheters (AECs). The procedure, however, can lead to major complications that require prompt intervention for optimal outcomes. We report on a case of endotracheal tube exchange with AECs complicated by pneumothorax, without evidence of tracheal or bronchial injury demonstrable via bronchoscopy. Increasing rates of AEC-related complications highlight the need for alternative methods to exchange malfunctioning endotracheal tubes safely.
authors.affiliation: Department of Medicine-Pulmonary Critical Care, Staten Island University Hospital, Staten Island, New York 10305, USA. kassemharris@gmail.com
authors.forename: Kassem
authors.initials: K
authors.lastname: Harris
authors.forename: Michel
authors.initials: M
authors.lastname: Chalhoub
authors.forename: Rabih
authors.initials: R
authors.lastname: Maroun
authors.forename: Dany
authors.initials: D
authors.lastname: Elsayegh
mesh_terms: D000328:Adult; D006801:Humans; D007049:Iatrogenic Disease; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology*