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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 9/2016

01-09-2016 | Correspondence

Does your reinforced tube have a Murphy EYE?

Authors: Kyong Shil Im, MD, PhD, Hae Jin Lee, MD, PhD, Jae Myeong Lee, MD, PhD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 9/2016

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Excerpt

Wire reinforcement of an endotracheal tube (ETT) is designed to prevent kinking and bending of the ETT, which cause obstruction and increased airway pressure. Reinforced ETTs are used in several settings, including for some patients in a prone position.1,2 These ETTs are extremely flexible, however, so inserting and advancing them without a stylet can be quite difficult. Here, we present a case of a reinforced ETT impinging on the wall of the trachea, making ventilation difficult. We received written consent from the patient to report this event. …
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Literature
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2.
Cassorla L, Lee JW. Patient positioning and associated risks. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohen WH, Young WL, editors. Miller’s Anesthesia. 8th ed. Philadelphia: Elsevier Inc.; 2015. p. 1240-65.
3.
4.
Davies RG. The importance of a Murphy Eye. Anaesthesia 2001; 56: 915.PubMed
5.
Thong SY, Teo YW. Unusual cause of airway obstruction associated with the reinforced endotracheal tube in a prone patient. Anaesth Intensive Care 2012; 40: 895-6.PubMed
Metadata
Title
Does your reinforced tube have a Murphy EYE?
Authors
Kyong Shil Im, MD, PhD
Hae Jin Lee, MD, PhD
Jae Myeong Lee, MD, PhD
Publication date
01-09-2016
Publisher
Springer US
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 9/2016
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-016-0674-2

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