Evidence map›Paper›PMID 40873841›Full record

ArticleCureus2025

Unexpected Ventilation Failure Following Intubation: Bronchospasm or Device Malfunction?

Ethan Steinberg, Gisele J Wakim, Rita El-Hachem, Manavii Kumar

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ethan SteinbergAnesthesia, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Gisele J WakimAnesthesia, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Rita El-HachemAnesthesiology and Pain Medicine, American University of Beirut, Beirut, LBN.
Manavii KumarAnesthesia, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes the sudden intraoperative ventilation failure in an elderly patient undergoing thyroid lobectomy following intubation with a Medtronic neural integrity monitoring (NIM) endotracheal tube (ETT). Despite confirming appropriate tube positioning and initiating bronchodilator therapy, ventilation could not be restored until the NIM tube was removed and replaced with a standard ETT. This case predates a Class I FDA recall of Medtronic NIM tubes for design-related obstruction, raising the possibility that device malfunction may have contributed to the clinical presentation. This report highlights the importance of maintaining a broad differential diagnosis during airway emergencies and considering tube exchange early in the process.

Indexed as

ambulatory anesthesiaanesthesia complicationsbronchospasm managementdevice recalldifficult airway algorithmdifficult airway managementdifficult ventilationendotracheal tube exchangeendotracheal tube obstructionpost-intubation complications

Identifiers

PMID40873841
PMCPMC12379754

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.