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Tracheobronchomegaly causing endotracheal tube cuff leak

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Abstract We describe a 75 year old gentleman, admitted to intensive care unit, who develops a significant endotracheal cuff leak. After ruling out cuff puncture we discover the patient has… Click to show full abstract

Abstract We describe a 75 year old gentleman, admitted to intensive care unit, who develops a significant endotracheal cuff leak. After ruling out cuff puncture we discover the patient has tracheobronchomegaly on a CT thorax. The leak is highly positional but was managed successfully with careful ETT manoeuvring. We discuss the causes of ETT cuff leak and then explain the underlying mechanisms of tracheobronchomegaly.

Keywords: tracheobronchomegaly causing; leak; endotracheal tube; cuff leak; causing endotracheal

Journal Title: Trends in Anaesthesia and Critical Care
Year Published: 2019

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