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Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2008

Open Access 01-12-2008 | Case report

Skin avulsion injury during endotracheal tube extubation – case report of an unusual complication

Authors: Berkhan Yilmaz, Kutay Colakoglu, Raffi Gurunluoglu

Published in: Patient Safety in Surgery | Issue 1/2008

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Abstract

We report a geriatric case with a full-thickness skin avulsion injury during extubation due to a tube securing tape used to fixate the endotracheal tube. The avulsed skin was sutured back to its original place. Based on this single geriatric patient, we recommend anesthesiologists/anesthetists and surgeons be aware of the potential risk of avulsing the skin with tape during a standard extubation procedure. This may especially occur in geriatric patients who have age related changes as decreased elasticity and resistance to shearing forces that predispose the skin to get traumatized easily.
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Literature
1.
Grammatikopoulos T, Devane S, Hannam S, Greenough A: Method of endotracheal tube fixation and iatrojenic ear deformities. Eur J Pediatr. 2003, 162: 41-3. 10.1007/s00431-002-1020-y.CrossRefPubMed
2.
Walker I, Lockie J: Basic tecniques for anaesthesia. Paediatric Anaesthesia. Edited by: Sumner E, Hatch DJ. 1999, London: Arnold, 165-210.
3.
Eskinder H: A new method of endotracheal tube fixation fot pediatric neurosurgical patients. Anesthesiology. 1993, 78: 618-9. 10.1097/00000542-199303000-00047.CrossRef
4.
Donlon WC, Truta MP, Hilt DM: A simple method of nasoendotracheal tube fixation. Ann Plast Surg. 1989, 23: 461-2. 10.1097/00000637-198911000-00017.CrossRefPubMed
5.
Mikawa K, Maekawa N, Goto R, Yaku H, Obara H: Transparent dressing is useful for the secure fixation of the endotraceal tube. Anesthesiology. 1993, 75: 618-9.
6.
Hansen RH, Remensynder JP: External fixation of endotracheal tubes while skin grafting severe burns of the face. Plast Reconstr Surg. 1978, 62: 628-9.CrossRefPubMed
7.
Thorne CHM, Aston SJ: Aesthetic surgery of the aging face. Grabb and Smith's Plastic Surgery. Edited by: Aston SJ, Beasley RB, Thorne CHM. 1997, Philedelphia-New York: Lippincott-Raven, 633-49.
Metadata
Title
Skin avulsion injury during endotracheal tube extubation – case report of an unusual complication
Authors
Berkhan Yilmaz
Kutay Colakoglu
Raffi Gurunluoglu
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2008
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/1754-9493-2-12

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