Displacement, Misplacement, Replacement: Cardiac Arrest and Abdominal Compartment Syndrome After ETT Dislodgment and Unrecognized Esophageal Intubation

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

A 55-year-old male presented with Fournier's gangrene and underwent perineal I&D. His postoperative course was complicated by encephalopathy and he was intubated for airway protection. IR-guided lumbar puncture was performed, however, during the procedure, the ETT was dislodged and accidentally reinserted into the esophagus, leading to hypoxic and hypercarbic cardiac arrest. After appropriate ETT placement, the patient underwent exploratory laparotomy and bilateral chest tube placement given concern for abdominal compartment syndrome and the inability to ventilate. This case highlights the complications of unrecognized ETT placement and anesthetic considerations in abdominal compartment syndrome.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

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