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Endotracheal tube complication during extubation following surgical repair of a traumatic tracheal laceration
  1. Lucy Miller,
  2. Sam Pryke,
  3. Ambra Panti and
  4. Miguel Gozalo Marcilla
  1. Anaesthesia, The University of Edinburgh, Royal Dick School of Veterinary Studies, Roslin, UK
  1. Correspondence to Lucy Miller; s1008987{at}


Difficult or impossible tracheal extubation has previously been reported in the veterinary literature as a result of endotracheal tube (ETT) faults or due to their entanglement with oesophagostomy tubes. Inadvertent transfixation of the ETT to the trachea during oral–maxillofacial surgery is a reported cause of extubation complications in the human literature. In this case, an incident of accidental ETT cuff transfixation to the trachea of a dog undergoing surgical repair of a traumatic tracheal laceration is reported. General anaesthesia for tracheal surgery requires special consideration of airway management to reduce complications. While precautions can be taken to avoid ETT placement within the surgical field, this cannot always be avoided and measures should be implemented for detection of transfixation. If tracheal extubation complications do arise, it is important to consider the differential causes and act quickly to resolve the problem and ensure minimal distress to the animal.

  • Anaesthesia
  • Dogs
  • Trauma
  • Respiratory disease
  • Soft tissue surgery
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  • Presented at AVA Spring Meeting 2020 in Dublin, Ireland on March 2020 as a poster presentation.

  • Contributors LM and SP wrote the manuscript for this case and along with MGM contributed to the anaesthetic management of this case. AP and MGM reviewed and edited the manuscript. All authors reviewed the final version of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.

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