Skin avulsion injury during endotracheal tube extubation – case report of an unusual complication

doi:10.1186/1754-9493-2-12

Patient Safety in Surgery

Volume 2

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Case report

Skin avulsion injury during endotracheal tube extubation – case report of an unusual complication

Berkhan Yilmaz¹ , Kutay Colakoglu² and Raffi Gurunluoglu¹^,3

¹Department of Plastic, Reconstructive & Aesthetic Surgery, Acibadem Hospital, Istanbul, Turkey

²Department of Anesthesiology, Acibadem Hospital, Istanbul, Turkey

³Plastic and Reconstructive Surgery, Denver Health Medical Center, University of Colorado Health Sciences, Denver, Colorado, USA

author email corresponding author email

Patient Safety in Surgery 2008, 2:12doi:10.1186/1754-9493-2-12


Published:	21 May 2008

Abstract

We report a geriatric case with a full-thickness skin avulsion injury during extubation due to a tube securing tape used to fixate the endotracheal tube. The avulsed skin was sutured back to its original place. Based on this single geriatric patient, we recommend anesthesiologists/anesthetists and surgeons be aware of the potential risk of avulsing the skin with tape during a standard extubation procedure. This may especially occur in geriatric patients who have age related changes as decreased elasticity and resistance to shearing forces that predispose the skin to get traumatized easily.