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A Marker for a Defective Airway

Sidney Tessler, MD; Yizhak Kupfer, MD; Amir Lerman, MD; Edward L. Arsura, MD

Arch Intern Med. 1990;150(2):318-320.

Abstract
• Tracheal intubation is a commonly performed procedure generally associated with a low complication rate. A clinical sign that could lead to early detection of complications could improve management of mechanically ventilated patients. We present two instances of potentially lethal complications that were heralded by the presence of massive gastric distention. This finding should alert physicians that an abnormal communication may exist between the endotracheal tube and the gastrointestinal tract.

(Arch Intern Med. 1990;150:318-320)

Author Affiliations
From the State University of New York Health Sciences Center of Brooklyn (NY) (Drs Tessler and Arsura); Division of Pulmonary and Critical Care Medicine (Dr Tessler) and Department of Medicine (Drs Tessler, Kupfer, Lerman, and Arsura), Maimonides Medical Center, Brooklyn, NY.

Footnotes
Accepted for publication July 31,1989.

Reprint requests to the Division of Pulmonary and Critical Care Medicine, Maimonides Medical Center, 480210th Ave, Brooklyn, NY 11219 (Dr Tessler).

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