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Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 33-35

Failed ventilation due to intratracheal U-shaped kinking of the nasal Ring–Adair–Elwyn tube

Department of Anaesthesia, SN Medical College, Agra, Uttar Pradesh, India

Correspondence Address:
Dr. Rajeev Puri
Department of Anaesthesia, SN Medical College, Agra, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ARWY.ARWY_7_18

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This report describes a case of failed ventilation in a patient who was intubated nasotracheally with a previously used ivory polyvinyl chloride nasal Ring–Adair–Elwyn (RAE) tube while undergoing general anaesthesia for mandibular surgery. This mishap occurred because of the mechanical U-shaped kinking of the tube below the vocal cords which was diagnosed with difficulty at laryngoscopy. On close inspection of the glottic opening at laryngoscopy, a U-shaped fold of the terminal end of the tracheal tube was observed. Reintubation with another fresh nasal RAE tube was followed by uneventful anaesthesia and surgery.

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