{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T01:14:15Z","timestamp":1788570855206,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust Veterinary J"],"abstract":"<jats:p>A 10\u2010year\u2010old, 16.2\u2010kg male neutered Beagle under general anaesthesia developed an airway leak following blind insertion of an oesophageal temperature probe. Before probe placement, anaesthesia was uneventful. Intubation was performed with a high\u2010volume, low\u2010pressure cuffed endotracheal tube. Immediately after probe placement, capnographic morphology transitioned from a normal rectangular waveform to a low\u2010amplitude, triangular trace consistent with airway leakage. Repeated cuff inflation did not resolve the capnographic abnormalities. Reintubation revealed inadvertent tracheal placement of the temperature probe, which had presumably disrupted the cuff seal. Capnography normalised following reintubation and the procedure was completed uneventfully. This case report describes the malpositioning of an oesophageal temperature probe intratracheally, resulting in airway leakage in an anaesthetised dog. Sudden changes in capnographic waveform or a marked reduction in expected temperature following probe insertion should prompt consideration for oesophageal temperature probe malposition.<\/jats:p>","DOI":"10.1111\/avj.70140","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T01:10:06Z","timestamp":1788570606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Airway leakage due to intratracheal malpositioning of an oesophageal temperature probe in an anaesthetised dog"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2406-9520","authenticated-orcid":false,"given":"T","family":"Kurniawan","sequence":"first","affiliation":[{"name":"Western Australian Veterinary Emergency and Specialty  Success Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1043-561X","authenticated-orcid":false,"given":"HS","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Western Australian Veterinary Emergency and Specialty  Success Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EA","family":"Drynan","sequence":"additional","affiliation":[{"name":"Western Australian Veterinary Emergency and Specialty  Success Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.3389\/fvets.2020.00039","article-title":"Evaluation of endotracheal tube cuff pressure and the use of three cuff inflation syringe devices in dogs","volume":"7","author":"Hung WC","year":"2020","journal-title":"Front Vet Sci"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.vaa.2025.03.015","article-title":"The American College of Veterinary Anesthesia and Analgesia Small Animal Anesthesia and sedation monitoring guidelines 2025","volume":"52","author":"Bailey K","year":"2025","journal-title":"Vet Anaesth Analg"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","DOI":"10.1177\/03000605231224231","article-title":"Airway leakage due to malpositioning of esophageal temperature probe during robot\u2010assisted radical prostatectomy: a case report","volume":"52","author":"Lee JM","year":"2024","journal-title":"J Int Med Res"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1007\/s00540-007-0578-y","article-title":"Intrabronchial misplacement of a thermal probe in a patient with a tracheal tube","volume":"22","author":"Suzuki T","year":"2008","journal-title":"J Anesth"},{"key":"e_1_2_8_6_1","article-title":"Esophageal temperature probe as a cause of air leak around the endotracheal tube cuff","volume":"7","author":"Hobaika ABDS","year":"2002","journal-title":"Internet J Anesthesiol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.vaa.2020.05.002","article-title":"Tracheal misplacement of a temperature probe in a dog during general anaesthesia","volume":"47","author":"Cambruzzi M","year":"2020","journal-title":"Vet Anaesth Analg"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.resuscitation.2017.01.002","article-title":"Endotracheal tube placement confirmation: 100% sensitivity and specificity with sustained four\u2010phase capnographic waveforms in a cadaveric experimental model","volume":"115","author":"Silvestri S","year":"2017","journal-title":"Resuscitation"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/j.1476-4431.2005.00158.x","article-title":"A comparison of auricular, rectal and pulmonary artery thermometry in dogs with anesthesia\u2010induced hypothermia","volume":"16","author":"Southward ES","year":"2006","journal-title":"J Vet Emerg Crit Care"},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182010606","article-title":"Core temperature measurement\u2010principles of correct measurement, problems, and complications","volume":"18","author":"Hymczak H","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1055\/a-2103-3162","article-title":"Body temperature measurement in anesthetized dogs \u2010 comparison of nasal, axillary, rectal and esophageal temperature","volume":"51","author":"Ward R","year":"2023","journal-title":"Tierarztl Prax Ausg K Kleintiere Heimtiere"},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1136\/bmj.288.6422.965","article-title":"Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs","volume":"288","author":"Seegobin RD","year":"1984","journal-title":"Br Med J (Clin Res Ed)"},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1111\/j.1467-2995.2012.00719.x","article-title":"Evaluation of the endotracheal tube cuff pressure resulting from four different methods of inflation in dogs","volume":"39","author":"Briganti A","year":"2012","journal-title":"Vet Anaesth Analg"},{"key":"e_1_2_8_14_1","volume-title":"Veterinary anaesthesia: principles to practice","author":"Dugdale A","year":"2020"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.1088\/0967-3334\/33\/10\/1631","article-title":"Effect of endotracheal tube leak on capnographic measurements in a ventilated neonatal lung model","volume":"33","author":"Schmalisch G","year":"2012","journal-title":"Physiol Meas"},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1093\/bjaed\/mkw062","article-title":"Uses of capnography in the critical care unit","volume":"17","author":"Kerslake I","year":"2017","journal-title":"BJA Educ"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1093\/bja\/81.2.171","article-title":"Accuracy and precision of \u201cdeep sternal\u201d and tracheal temperatures at high\u2010 and low\u2010fresh\u2010gas flows","volume":"81","author":"Matsukawa T","year":"1998","journal-title":"Br J Anaesth"},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMvcm1900481","article-title":"Esophageal temperature measurement","volume":"383","author":"Pasquier M","year":"2020","journal-title":"N Engl J Med"},{"key":"e_1_2_8_19_1","first-page":"701","article-title":"Aspiration pneumonia; incidence of aspiration with endotracheal tubes","volume":"131","author":"Spray SB","year":"1976","journal-title":"Am J Surg"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.hrtlng.2011.09.001","article-title":"The role of the endotracheal tube cuff in microaspiration","volume":"41","author":"Hamilton VA","year":"2012","journal-title":"Heart Lung"}],"container-title":["Australian Veterinary Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/avj.70140","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/avj.70140","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/avj.70140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T01:10:09Z","timestamp":1788570609000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/avj.70140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":19,"alternative-id":["10.1111\/avj.70140"],"URL":"https:\/\/doi.org\/10.1111\/avj.70140","archive":["Portico"],"relation":{},"ISSN":["0005-0423","1751-0813"],"issn-type":[{"value":"0005-0423","type":"print"},{"value":"1751-0813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"assertion":[{"value":"2026-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"avj.70140"}}