Avanos medical inc.Received a single report that referenced five different incidences, which were associated with separate units, involving five different patients.This is the first of five reports.Refer to 8030647-2020-00039 for the second report, refer to 8030647-2020-00040 for the third report, refer to 8030647-2020-00041 for the fourth report, refer to 8030647-2020-00042 for the fifth report.It was reported that the "et [endotracheal] tube [ett] clogged with tenacious secretions." additional information received 16-jun-2020 indicated that yellow, dried secretions were adhered to the inside of the ett.The patient was admitted on (b)(6) 2020, intubated on (b)(6) 2020, and transferred to another facility on (b)(6) 2020.Patient was on a heated vent circuit since intubation.A fiberoptic bronchoscopy was performed (b)(6) 2020."initially patient had obstructed et tube with hard crusted particles that could not be removed with suction.Et tube was exchanged with glidescope by anesthesia.Bronchoscope was introduced with findings on 2nd bronchoscopy showing: normal endobronchial tree with thickened carina of right middle lobe possibly secondary to bronchomalacia, thick bilateral mucus plugs seen in rll [right lower lobe] and lll [left lower lobe], inflamed airway under et tube with bloody secretions, and bilateral mild airway inflammation." once the et tube was exchanged with a glidescope the patient's tidal volumes improved and a chest x-ray showed "no acute abnormalities." repeat arterial blood gas also showed an improvement from (b)(6).The user facility stated "you can hear the secretions 'rattling' even though you have just or in the process of suctioning.In some instances they don't get anything out but can hear it.Sometimes they will remove the patient from the vent and straight cath them to get the secretions.In some instances when we are not getting the secretions the xray is not improving and o2 [oxygen] requirements not improving they will bronch [bronchoscopy] the patients and will get tons of secretions with plugs.".
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