Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

Abstract EN

Tracheal rupture is a rare complication of endotracheal intubation.

We present a case of tracheal rupture that was diagnosed intraoperatively after the use of an NIM EMG endotracheal tube.

A 66-year-old female with a recurrent multinodular goiter was scheduled for total thyroidectomy.

Induction of anesthesia was uncomplicated.

Intubation was atraumatic using a 6 mm NIM EMG endotracheal tube (ETT).

Approximately 90 minutes into the surgery, a tracheal tear was suspected.

After confirming the diagnosis, conservative treatment with antibiotic coverage was favored.

The patient made a full recovery with no complications.

Diagnosis of the tracheal tear was made intraoperatively, prompting early management.