Difficulty with cuff deflation of reinforced tracheal tube caused by inflation line occlusion with silk thread ligation and fixation

Sayoko Gotoh; Daisuke Sugiyama; Eriko Imai; Mikito Kawamata

doi:10.1136/bcr-2014-207933

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Difficulty with cuff deflation of reinforced tracheal tube caused by inflation line occlusion with silk thread ligation and fixation

Journal article

Peer reviewed

Difficulty with cuff deflation of reinforced tracheal tube caused by inflation line occlusion with silk thread ligation and fixation

Sayoko Gotoh, Daisuke Sugiyama, Eriko Imai and Mikito Kawamata

BMJ case reports, Vol.2015, p.bcr2014207933

03/05/2015

DOI: 10.1136/bcr-2014-207933

PMCID: PMC4369034

PMID: 25743860

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Abstract

A reinforced tracheal tube, ligated with silk threads, was inserted into a tracheostomy orifice and fixed to the skin. The cuff inflation line of the reinforced tracheal tube became occluded. Reinforced 'armoured' tracheal tubes have a spiral of wire embedded into the wall of the tube to give strength and flexibility, and may be sharply bent without compromising the tube lumen. The tracheal cuff attached to the tube is inflated by injecting air through a narrow-diameter tube welded to the outside of the tracheal tube. When a reinforced tracheal tube is ligated and fixed with silk threads, it should be confirmed whether the tracheal tube cuff can be deflated and inflated after fixation. Moreover, because occlusion can be eliminated by removing all silk threads used to ligate a tracheal tube, they should be removed before extubation.

Anesthesia, General - methods

Humans

Intubation, Intratracheal - instrumentation

Intubation, Intratracheal - methods

Ligation - methods

Male

Middle Aged

Respiration, Artificial

Silk

Trachea - surgery

Tracheostomy - instrumentation

Tracheostomy - methods

Treatment Outcome

Details

Title: Subtitle: Difficulty with cuff deflation of reinforced tracheal tube caused by inflation line occlusion with silk thread ligation and fixation
Creators: Sayoko Gotoh - Shinshu University
Daisuke Sugiyama - Ōtani University
Eriko Imai - Shinshu University
Mikito Kawamata - Shinshu University
Resource Type: Journal article
Publication Details: BMJ case reports, Vol.2015, p.bcr2014207933
DOI: 10.1136/bcr-2014-207933
PMID: 25743860
PMCID: PMC4369034
NLM abbreviation: BMJ Case Rep
ISSN: 1757-790X
eISSN: 1757-790X
Language: English
Date published: 03/05/2015
Academic Unit: Anesthesia
Record Identifier: 9984787259302771

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