Oral Ulcer in a Preterm Infant from Endotracheal Tube Fixation
Author Information
Author(s): Muacevic Alexander, Adler John R, Fusagawa Shintaro, Sakai Takuro, Igarashi Lisa, Nishida Takeshi, Miki Kaori
Primary Institution: Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, JPN
Hypothesis
Does endotracheal tube fixation at the oral commissure combined with lateral positioning increase the risk of ulcer formation in preterm infants?
Conclusion
The case suggests that endotracheal tube fixation at the oral commissure with lateral positioning may increase the risk of ulcer formation.
Supporting Evidence
- Endotracheal tube fixation at the oral commissure is a known complication.
- Ulcer formation occurred 11 days after changing the fixation site.
- The infant was extubated and discharged with minimal scarring.
Takeaway
A baby who was very premature got a sore on his lip because the tube that helped him breathe was fixed in a bad spot. We learned that we should be careful about where we put these tubes.
Methodology
Case report of an extremely preterm infant with an oral commissure ulcer due to endotracheal tube fixation and lateral positioning.
Potential Biases
Potential bias in reporting due to the single case nature of the study.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
A male infant born at 24 weeks and four days of gestation, weighing 696 gm.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website