Adjusting the endotracheal tube tip in management of tracheomalacia in an infant

International Journal of Pediatric Otorhinolaryngology
Wen-Jue Soong

Abstract

Tracheomalacia (TM) is an occult central airway problem that may block the endotracheal tube (ETT) tip and cause ventilation risk. Traditional physical examination, chest radiograph, end-tidal CO2 monitoring and blood gas analysis do not easily make the correct diagnosis. Ultra-thin flexible bronchoscopy (FB) is convenient and useful to verify this rare type of ETT obstruction and can also guide the adjustment of the ETT tip to a correct location. We report two TM infants who were successfully diagnosed and managed by FB to correctly reposition the ETT tip.

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Citations

Jan 7, 2010·Journal of Anesthesia·Takeshi UmegakiKoh Shingu

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