Mitigating “cannot ventilate, cannot oxygenate” (CVCO) scenario following accidental transection of the endotracheal tube during maxillofacial surgery

Shamantha Reddy, Tracey Straker, Latha Naik, Sergey Pisklakov, Ellise Delphin

Research output: Contribution to journalArticle

Abstract

We report a case of accidental transection of a nasal RAE endotracheal tube (ETT) and subsequent management in a 24-year-old male undergoing maxillary and mandibular osteotomy. Forty-five minutes into the procedure, transection of ETT by the surgical drill resulted in a progressive decrease in tidal volumes and a decline in oxygen saturation. After failing to exchange the ETT over a tube exchanger, a soft suction catheter was threaded through the RAE tube to provide oxygenation and borrow time to re-intubate through the opposite nostril. Suction catheter is a viable tool to maintain oxygenation and mitigate “Cannot Ventilate, Cannot Oxygenate” scenario during accidental transection of ETT.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalMiddle East Journal of Anesthesiology
Volume26
Issue number1
StatePublished - Feb 2019

Fingerprint

Oral Surgery
Suction
Catheters
Maxillary Osteotomy
Mandibular Osteotomy
Mandrillus
Tidal Volume
Nose
Oxygen

Keywords

  • Airway
  • Endotracheal tube
  • Nasal intubation
  • Suction catheter

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Mitigating “cannot ventilate, cannot oxygenate” (CVCO) scenario following accidental transection of the endotracheal tube during maxillofacial surgery. / Reddy, Shamantha; Straker, Tracey; Naik, Latha; Pisklakov, Sergey; Delphin, Ellise.

In: Middle East Journal of Anesthesiology, Vol. 26, No. 1, 02.2019, p. 33-36.

Research output: Contribution to journalArticle

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