Anaesthesiologists Beware! Airway Hazard due to Broken Endotracheal Tube

Dr. Pragya Gupta, Dr, Swati Saini, Dr. Esther Owk

Abstract: This case study presents a detailed exploration of the challenges and solutions in managing airway complications, particularly focusing on a case where an intubated patient in the intensive care unit ICU experienced a broken endotracheal tube ETT during the weaning process. Highlighting the significance of vigilance and expertise in anesthesia, the text delves into a scenario involving a 31 - year - old male patient admitted after a road traffic accident, scheduled for surgery requiring intricate airway management due to his injuries. Despite successful surgery and airway management strategies, including awake fibreoptic intubation and the use of reinforced tubes, the patient faced a life - threatening complication during weaning from mechanical ventilation. The incident underscores the importance of continuous monitoring, especially during critical phases such as sedation weaning and shift changes, and the utility of advanced equipment like video laryngoscopes for emergency management. The discussion emphasizes the need for a multidisciplinary approach, proper use of airway protective equipment, and readiness for emergency interventions to mitigate risks associated with ETT damage. This case exemplifies the ongoing risks of airway management in the ICU and the crucial role of experience, preparedness, and clinical judgment in preventing potential fatalities.

Keywords: Endotracheal tube, tube bite, video laryngoscope, weaning, airway