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Case Reports in Pediatrics
Volume 2016, Article ID 4373207, 2 pages
http://dx.doi.org/10.1155/2016/4373207
Case Report

Partial Obstruction of the Endotracheal Tube by the Plastic Coating Sheared from a Stylet

Metro Health Medical Center, Cleveland, OH 44109, USA

Received 29 October 2015; Revised 12 January 2016; Accepted 20 January 2016

Academic Editor: Denis A. Cozzi

Copyright © 2016 Anirudha Das et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A preterm with gestational age of 24 weeks was intubated at day of life 16. The intubation was done in a routine manner with the use of a stylet. It took a significant effort from the clinician to pull the stylet out after intubation. After intubation the respiratory status of the neonate deteriorated requiring significantly greater support. When ventilating and oxygenating the infant was getting progressively difficult, the decision was made to change the endotracheal tube (ETT). The cause for deterioration of respiratory status was then determined to be a sheared piece of plastic from the sheath of the stylet which was lodged in the lumen of the ETT. After removal of the plastic particle, the condition of the infant improved significantly.