Esophageal intubation

Case contributed by Dr Craig Hacking

Presentation

Trauma, primary aeromedical retrieval.

Patient Data

Age: 20 years
Gender: Male
X-ray

The ETT courses to the right and is not superimposed in the trachea or RMB. Bilateral airspace opacities greater in the left lung. Large volume of gas in the stomach.

Case Discussion

The ETT is located in the esophagus which explains the gas-filled stomach. The pulmonary opacities partially cleared once the patient was re-intubated successfully.

Intubation at the scene of trauma (pre-hospital intubation) can be extremely difficult and is obviously more challenging without the comforts of hospital equipment, staff and support.

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Case information

rID: 59201
Published: 27th Mar 2018
Last edited: 16th Jul 2018
System: Chest, Trauma
Inclusion in quiz mode: Included

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