Challenges in determining the right endotracheal tube during anesthesia. Case report and literature review
Anderson José Gonçalves, Paula Lima Antoniazzi, Paulo Sérgio Mateus Marcelino Serzedo
Abstract
The gold standard for securing and accessing the airways under anesthesia is orotracheal intubation. The selection of the endotracheal tube is empirical and depends on the age and sex of the patient. A 59-year-old patient underwent oncologic surgery. After induction, the patient was intubated by direct laryngoscopy and no problems were noted during the procedure. During repositioning, the patient experienced a refractory episode of desaturation. A chest X-ray revealed selective right bronchus intubation and total opacification of the left lung. After repositioning the endotracheal tube, the radiograph showed complete resolution of the left lung atelectasis and no further anesthetic problems. Selective intubation, barotrauma, respiratory failure, and laryngotracheal mucosa injury can all result from poor endotracheal tube selection. Consequently, anesthesiologists must exercise caution when selecting an endotracheal tube to ensure optimal airway control.
Keywords
References
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Submitted date:
04/04/2024
Accepted date:
06/19/2024
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