Work

Sudden Ventilatory Failure Caused by Mucus Plugging of the Endotracheal Tube in a Neonate With Congenital Pneumonia During Oral Surgery: A Case Report

Year: 2026

Type: article

Abstract: Endotracheal tube (ETT) obstruction is a rare but potentially life-threatening complication of general anesthesia, particularly in neonates with increased airway secretions. We report a case involving a 22-day-old neonate with congenital pneumonia who developed sudden ventilatory failure during oral surgery under general anesthesia. Abrupt increases in airway pressure and reduced tidal volume were observed, and suctioning was unsuccessful. ETT exchange immediately restored ventilation, and the removed tube was found to be obstructed by viscous mucus. This case highlights that acute ETT obstruction can occur unexpectedly, even shortly after intubation. Early recognition and prompt airway intervention are essential to prevent severe complications.

Source: Cureus

DOI: 10.7759/cureus.109336

Authors: Eunkyung Choi, Juhee Min, Deokhee Lee, Hyunho Shin

Institutions: Yeungnam University Medical Center, Yeungnam University College, Yeungnam University

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7162017536