Abstract
Airway management is paramount for the care of critically ill and severely injured patients. Rapid-sequence tracheal intubation following sedation and muscle relaxation is a standard procedure under emergency conditions [1]. While care may be taken to ensure smooth insertion of the laryngoscope blade and accurate placement of the tracheal tube, little emphasis may be paid to the fixation of the tube. Self-adhesive tape and tube holders may fail to stick especially when skin is moist or blood stained. Consequently bandages, tapes or ties are often used which hitherto have not been reported as potentially dangerous [2]. This communication documents the case of impaired cerebral blood flow possibly due to tracheal tube fixation with limited monitoring facilities.
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