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Endotracheal tube lost in the trachea.

To the Editor.— A variety of foreign bodies have lodged in the air and food passages. 1 Aspiration of the tracheostomy cannula 2 and nebulizer cork, 3 and swallowing of endotracheal tubes 4 have occurred, but I have not found a report in which an endotracheal tube had been aspirated into the upper-respiratory tract. Report of a Case.— A 16-month-old male infant weighing 16 kg who had ingested a small amount of bleach was anesthetized with halothane, nitrous oxide, and oxygen for an esophagoscopy. A well-lubricated 16 F Cole tube with a 5-mm endotracheal connector was introduced into the larnyx under direct vision. Shortly after the endoscope was advanced, the patient made strenuous inspiratory efforts and complete respiratory obstruction developed. At this point the esophagoscope, the surgeon's index finger, and the distal half of the endotracheal tube connector were in the patient's mouth. Difficulty was thought to be due to