What are the complications of endotracheal intubation?

What are the complications of endotracheal intubation?

Complications that can occur during placement of an endotracheal tube include upper airway and nasal trauma, tooth avulsion, oral-pharyngeal laceration, laceration or hematoma of the vocal cords, tracheal laceration, perforation, hypoxemia, and intubation of the esophagus.

What is the most common complication after extubation?

The common complications immediately after extubation were coughing (6.6%) and oxygen desaturation (SaO2 < 90%) (2.4%), and in the recovery room, airway obstruction (3.8%) and coughing (3.1%).

Can endotracheal intubation cause pneumothorax?

Abstract. Background: Tension pneumothorax is a serious, potentially life-threatening condition with numerous etiologies. Hypopharyngeal injury, a possible complication of endotracheal intubation, can lead to tension pneumothorax.

What are the complications of mechanical ventilation?

Among the potential adverse physiologic effects of positive-pressure ventilation are decreased cardiac output, unintended respiratory alkalosis, increased intracranial pressure, gastric distension, and impairment of hepatic and renal function.

What is a rare but serious complication associated with endotracheal tube extubation?

Vocal cord paralysis — Vocal cord paralysis is a rare complication of intubation (<1 percent of intubations), particularly prolonged intubation [32,44,45].

How often should ETT be repositioned?

5 Oral ETT should be repositioned side-to-side every 24 hours and prn in adult patients and prn for pediatric patients.

Can ETT cause pneumothorax?

Hypopharyngeal injury, a possible complication of endotracheal intubation, can lead to tension pneumothorax. We describe a hypopharyngeal injury that occurred during endotracheal intubation that resulted in tension pneumothorax.

Can Bougie cause pneumothorax?

Inadvertent pneumothorax caused by intubating bougie.

What is the most common complication of ventilation?

Among the conditions VALI can lead to are: Pneumothorax: A hole or holes in your lungs that release air into the opening between your lungs and the wall of your chest. This can cause pain and loss of oxygen. It might also cause your lungs to collapse, which is an emergency.

What is the most serious potential complication of endotracheal intubation?

Laryngeal injury is the most common complication associated with ETT placement. It encompasses several disorders including laryngeal inflammation and edema as well as vocal cord ulceration, granulomas, paralysis, and laryngotracheal stenosis.

What is the most common complication of suctioning?

A slow heart rate, known as bradycardia, is one of the most common suctioning complications, likely because suctioning stimulates the vagus nerve. This increases the risk of fainting and loss of consciousness. In patients in cardiac distress, it can elevate the risk of severe cardiovascular complications.

When do complications associated with ETTs usually occur?

Many complications associated with oral endotracheal tubes (ETTs) occur during or immediately following initial placement. However, ETTs are also associated with complications following placement that can occur during the ensuing days to weeks of intensive care unit (ICU) admission.

What are the complications of an endotracheal tube?

Also may lead to perforation of the pyriform sinus, larynx or trachea and pneumomediastinum, subcutaneous emphysema, pneumothorax Esophageal intubation may be suspected if tube deviates from the tracheal air shadow and there is a dilated esophagus and stomach

Are there complications associated with oral ETTS in ICU?

However, ETTs are also associated with complications following placement that can occur during the ensuing days to weeks of intensive care unit (ICU) admission. This topic reviews basic aspects of prevention and treatment of complications associated with oral ETTs pertinent to the adult ICU patient.

Can a ett tip cause a vocal cord injury?

ETT tip in the neck may lead to vocal cord injury. Also may lead to perforation of the pyriform sinus, larynx or trachea and pneumomediastinum, subcutaneous emphysema, pneumothorax. Esophageal intubation may be suspected if tube deviates from the tracheal air shadow and there is a dilated esophagus and stomach.