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7099574 
Journal Article 
Tracheal necrosis as a fatal complication of endotracheal intubation 
Wylie, CE; Foote, AK; Rasotto, R; Cameron, IJ; Greet, TRC; , 
2015 
Yes 
Equine Veterinary Education
ISSN: 0957-7734 
WILEY-BLACKWELL 
HOBOKEN 
170-175 
WOS:000351360100003 
This case report describes the death of a yearling Thoroughbred colt due to segmental severe necrotising tracheitis with stenosis of the tracheal lumen, 19 days after endotracheal intubation for elective endoscopic surgery. The stenosis of the trachea leading to asphyxiation was caused by an inflammatory process accompanied by massive accumulation of necrotic material, fibrinous inflammatory exudate, oedema and granulation tissue. The cause of this inflammation was likely to be a bacterial infection secondary to traumatic damage of the tracheal mucosa. Given the clinical history and location of the lesion, the endotracheal tube used for general anaesthesia was hypothesised to be responsible for this damage. Delayed tracheal necrosis as a fatal complication of endotracheal intubation has not previously been described in the horse and should be considered as a potential catastrophic consequence following relatively innocuous clinical signs.