2. Department Anesthesiology and Perioperative Medicine, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, USA.
The following is an account of a rare airway management situation not previously described in the literature: an esophageal stethoscope knotted around the endotracheal portion of an endotracheal tube with difficulty removing either device independently. While many articles have reported an endotracheal tube entangled with an orogastric or nasogastric tube, this is the first such description of an esophageal stethoscope encountering the same problem. The patient involved in this case report was a 68 year old Hispanic female with a history of supratentorial meningioma, status post resection 6 months prior, now requiring ventriculoperitoneal shunt placement. Anesthetic induction and intraoperative course were uneventful, with the difficulty at extubation being the focus of this case report. Although this case is the first of its kind to be described; the conclusions drawn from it are widely applicable. Namely, that if any device near or in the airway becomes difficult to remove it should be left in place until extubation and then simultaneously removed with the endotracheal tube.
Keywords: Airway management, retained endotracheal tube, perioperative airway complications, esophageal stethoscope knotting