TY - JOUR
T1 - To breathe or not to breathe
T2 - a review of artificial airway placement and related complications
AU - Donatelli, John
AU - Gupta, Ayushi
AU - Santhosh, Ramya
AU - Hazelton, Todd R.
AU - Nallamshetty, Leelakrishna
AU - Macias, Alvaro
AU - Rojas, Carlos A.
PY - 2015/3/17
Y1 - 2015/3/17
N2 - Artificial airway devices are commonly used to provide adequate ventilation and/or oxygenation in multiple clinical settings, both emergent and nonemergent. These frequently used devices include laryngeal mask airway, esophageal–tracheal combitube, endotracheal tube, and tracheostomy tube and are associated with various acute and late complications. Clinically, this may vary from mild discomfort to a potentially life-threatening situation. Radiologically, these devices and their acute and late complications have characteristic imaging findings which can be detected primarily on radiographs and computed tomography. We review appropriate positioning of these artificial airway devices and illustrate associated complications including inadequate positioning of the endotracheal tube, pulmonary aspiration, tracheal laceration or perforation, paranasal sinusitis, vocal cord paralysis, post-intubation tracheal stenosis, cuff overinflation with vascular compression, and others. Radiologists must recognize and understand the potential complications of intubation to promptly guide management and avoid long-term or even deadly consequences.
AB - Artificial airway devices are commonly used to provide adequate ventilation and/or oxygenation in multiple clinical settings, both emergent and nonemergent. These frequently used devices include laryngeal mask airway, esophageal–tracheal combitube, endotracheal tube, and tracheostomy tube and are associated with various acute and late complications. Clinically, this may vary from mild discomfort to a potentially life-threatening situation. Radiologically, these devices and their acute and late complications have characteristic imaging findings which can be detected primarily on radiographs and computed tomography. We review appropriate positioning of these artificial airway devices and illustrate associated complications including inadequate positioning of the endotracheal tube, pulmonary aspiration, tracheal laceration or perforation, paranasal sinusitis, vocal cord paralysis, post-intubation tracheal stenosis, cuff overinflation with vascular compression, and others. Radiologists must recognize and understand the potential complications of intubation to promptly guide management and avoid long-term or even deadly consequences.
KW - Airway complications
KW - Artificial airway
KW - Endotracheal tube
KW - Esophageal intubation
KW - Laryngeal mask airway
KW - Tracheostomy tube
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U2 - 10.1007/s10140-014-1271-8
DO - 10.1007/s10140-014-1271-8
M3 - Review article
C2 - 25266155
AN - SCOPUS:84925485775
VL - 22
SP - 171
EP - 179
JO - Emergency Radiology
JF - Emergency Radiology
SN - 1070-3004
IS - 2
ER -