Journal of Emergencies, Trauma, and Shock

CASE REPORT
Year
: 2019  |  Volume : 12  |  Issue : 1  |  Page : 58--60

Tracheal rupture related to endotracheal intubation during cardiopulmonary resuscitation


Hyun Min Jung, Areum Durey, Seung Baik Han, Ji Hye Kim 
 Department of Emergency Medicine, Inha University, College of Medicine, Incheon, South Korea

Correspondence Address:
Dr. Ji Hye Kim
Department of Emergency Medicine, Inha University Hospital, 27, Inhang-ro, Jung-gu, Incheon 22332
South Korea

Postintubation tracheal rupture is rare, but serious. Emergency intubation is often conducted during cardiopulmonary resuscitation (CPR), and the risk of postintubation tracheal rupture can be increased during CPR. We describe here a case of postintubation tracheal rupture in a 65-year-old female who was transferred from another hospital after CPR. Postintubation tracheal rupture in this case is thought to have been related to malposition of the endotracheal tube (ETT), elevation of the intratrachea pressure due to chest compression, and an overinflated cuff. However, the most important factor is considered to be the overinflated cuff, which is often caused by manual palpation. Therefore, emergency physicians should consider using a manometer to check the cuff pressure of the ETT, even during CPR. When spontaneous circulation is restored, the pressure of the cuff must be measured with a manometer.


How to cite this article:
Jung HM, Durey A, Han SB, Kim JH. Tracheal rupture related to endotracheal intubation during cardiopulmonary resuscitation.J Emerg Trauma Shock 2019;12:58-60


How to cite this URL:
Jung HM, Durey A, Han SB, Kim JH. Tracheal rupture related to endotracheal intubation during cardiopulmonary resuscitation. J Emerg Trauma Shock [serial online] 2019 [cited 2019 Sep 19 ];12:58-60
Available from: http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=1;spage=58;epage=60;aulast=Jung;type=0