Download PDF
CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2019; 06(01): 051
DOI: 10.1055/s-0038-1677640
Letter to the Editor
Indian Society of Neuroanaesthesiology and Critical Care

Comment on the Article “Simple Maneuver to Tide Over the Crisis Due to Intraoperative Malfunctioning of a Pilot Balloon”

Summit D. Bloria
1   Department of Anaesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Ankur Luthra
1   Department of Anaesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Pallavi Bloria
2   Department of Anesthesia, Government Medical College, Jammu, India
› Author Affiliations Funding None.
Further Information

Publication History

Publication Date:
11 March 2019 (online)

Also available at
   Permissions and Reprints

Reply to the Comment on the Article “Simple Maneuver to Tide Over the Crisis Due to Intraoperative Malfunctioning of a Pilot Balloon”

We read the article by Dhanda et al[1] and would like to congratulate the authors for management of an unforeseen complication intraoperatively. However, we would like to submit that the authors’ contention of this being a modified/novel technique is misplaced.

Inserting an intravenous cannula sheath into a severed inflation line of an endotracheal tube/tracheostomy tube and then attaching a three-way distal to it has been described previously on many occasions. Watson et al had described the same technique back in 1989.[2]

Gupta et al make a mention of this precise method in their article in 2010.[3] Also, Rao et al in an article in 2014 have described precisely the same technique.[4]

We believe that authors demonstrated a novel application (in a prone patient) of an already described technique rather than demonstrating a novel technique. That being said, they must be commended for their presence of mind and for reminding the readers of a simple method to “tide over” a potentially dangerous intraoperative situation.

Note

The authors submit that they are satisfied with the response and clarifications given by the authors of the said article and thank them for replying to the questions raised by us.


#
 

  • References

  • 1 Dhanda A, Dube SK, Agarwal S, Satyarthee GD. Simple maneuver to tide over the crisis due to intraoperative malfunctioning of a pilot balloon. J Neuroanaesthesiol Crit Care 2018; 5 (03) 204-205
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Watson E, Harris MM. Leaking endotracheal tube. Chest 1989; 95 (03) 709
    PubMedGoogle Scholar
  • 3 Gupta B, Farooque K, Jain D, Kapoor R. Improper tube fixation causing a leaky cuff. J Emerg Trauma Shock 2010; 3 (02) 182-184
    CrossrefPubMedGoogle Scholar
  • 4 Rao AK, Chaudhuri S, Joseph TT, Kamble D, Gotur G, Venkatesh S. Severed cuff inflation tubing of endotracheal tube: a novel way to prevent cuff deflation. Anesth Essays Res 2014; 8 (02) 243-246
    CrossrefPubMedGoogle Scholar