Gabrielle Thompson, Mark Harrison, Hassan Ahmad.
Management of a Firmly Lodged Endotracheal Tube: a Case of High Quality Communication..
J Coll Physicians Surg Pak Jan ;31(5):582-4.

This article describes a case of endotracheal tube firmly lodged in the trachea of a patient due to denuded subglottic cartilage and subglottic swelling. A 30-year female, who had a number of previous intubation episodes, presented with reduced consciousness and was intubated in order to protect and maintain her airway. On day-8 of intubation, it was found that the endotracheal tube was firmly lodged and the patient was taken to theatre for surgical assessment of the airway. The objective of this clinical case report is to highlight this unusual presentation and outline how it was managed in theatre. Furthermore, this case highlights the importance of a high quality communication using algorithmic surgical management plan to achieve a safe and controlled environment within theatre. Key Words: Teamwork, Communication, Shared airway, Extubation, Endotracheal tube.

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