Editorial Type:
Article Category: Brief Report
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Online Publication Date: Jan 01, 2017

Inner Wall Detachment of the Spiral Tube During Extubation: A Case Report

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Page Range: 171 – 172
DOI: 10.2344/anpr-64-03-02
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We report a case of endotracheal tube malfunction, in which the inner surface of the tube peeled off during anesthesia. The patient, a 7-year-old boy, was under general anesthesia for the treatment of multiple dental caries. The damaged tube could have caused respiratory failure, putting the patient's life at risk. We speculate that the use of nitrous oxide was one of the contributing factors to the inner wall detachment. Several additional lessons can be learned from this incident in order to prevent tube-related trouble during an operation.

Keywords: Spiral tube; Inner wall detachment; Nitrous oxide gas; Tube-related trouble
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Copyright: © 2017 by the American Dental Society of Anesthesiology
<bold>Figure 1</bold>
Figure 1

Inner wall detachment of spiral tube, seen from connector side.

<bold>Figure 2</bold>
Figure 2

Inner wall detachment of spiral tube. ⋇1 indicates starting point of detachment.

Contributor Notes

Address correspondence to Dr Tomo Morota, Department of Dental Anesthesiology, Aidu Chuo Hospital, Aizuwakamatsu, Fukushima, Japan; morotatomo@onchikai.jp.
Received: Dec 11, 2014
Accepted: Feb 25, 2015