Various factors can cause ventilatory failure after endotracheal tube (ETT) intubation, which is associated with increased patient morbidity and mortality.Patient concerns:
A 76-year-old woman who was diagnosed with a hemopericardium and suspicion of a major-vessel injury due to dislocation of the clavicular fracture fixation screw.Diagnosis:
Non-resterilized reinforced ETT obstruction caused by a structural defect.Intervention:
Endotracheal tube was exchanged.Outcomes:
The ventilator profile showed rapid improvement.Lessons:
Anesthesiologists should consider that a non-resterilized reinforced ETT may be defective. An ETT defect can cause high PIP and ETT obstruction without kinking or foreign materials.