Fractured tracheostomy tube: an overlooked foreign body

Gupta, Sachin; Ahluwalia, Hemant

doi:10.1017/s0022215100135777

Cited by 28 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prolonged wear, ageing of the tubes and repeated sterilization have been proposed as risk factors of a fractured tracheostomy tube [8,11-14]. Alkaline bronchial secretion, tissue reactivity from plastic tubes, long continued high internal stresses on the surface and manufacturing defects were also reported as causes of this complication [11-13]. In our opinion, the fracture of the tracheostomy tube in this patient may have been due to prolonged wear and ageing of the tube.…”

Section: Discussionmentioning

confidence: 99%

Fractured metallic tracheostomy tube in a child: a case report and review of the literature

et al. 2010

View full text Add to dashboard Cite

IntroductionTracheostomy is a common airway procedure for life support. The fracture of the tracheostomy tube is a rare complication. We report a case of a 14-year-old boy whose fractured stainless steel tracheostomy tube dislodged into the tracheobronchial tree. We include a literature review and proposed recommendations for tracheostomy care.Case presentationA 14-year-old Thai boy who had a stainless steel tracheostomy tube presented with a complaint of intermittent cough for 2 months. During tracheostomy tube cleaning, his parents found that the inner tube was missing. A chest X-ray revealed a metallic density foreign body in his right main bronchus. He underwent bronchoscopic removal of the inner tracheostomy tube and was discharged without further complications.ConclusionA fractured tracheostomy tube is a rare complication. Appropriate cleaning and scheduled replacement of the tracheostomy tube may prevent this complication.

show abstract

Section: Discussionmentioning

confidence: 99%

Fractured metallic tracheostomy tube in a child: a case report and review of the literature

et al. 2010

View full text Add to dashboard Cite

show abstract

“…1 5 6 In this case, it was at the junction of the tube and neck plate. Some of the mechanisms proposed include prolonged usage leading to increased wear and tear, accumulation of alkaline tracheobronchial secretion leading to softening and weakening of the tube, and manufacturing defects 2–4 7 8. In the above mentioned case, the child had undergone tracheostomy very early in life, at around 7 months of age, and it had been retained until 6 years of age.…”

Section: Discussionmentioning

confidence: 99%

Fractured tracheostomy tube presenting as a foreign body in a paediatric patient

et al. 2016

View full text Add to dashboard Cite

Tracheostomy tube fracture and aspiration into the tracheobronchial tree leading to airway obstruction is a dangerous complication after tracheostomy. We report a case of a fractured tracheostomy tube in a 6-year-old child who had been maintained on a tracheostomy tube for the past 5 years. The tracheostomy tube got fractured at the junction of the tube and neck plate, and impacted in the trachea and right main bronchus. Rigid bronchoscopy performed through the tracheostomy stoma to retrieve the fractured tracheostomy tube and the anaesthetic management during the period are discussed.

show abstract

“…7 A series of nine cases over a period of 8 years has been reported by Gupta in 1996. 8 Incidence of broken tracheostomy tube that remained undetected for a long period has been rare. Sreenath and Mahendrakar described a case of broken tracheostomy tube that was removed tube four years after inhalation.…”

Section: Discussionmentioning

confidence: 99%

Broken Metallic Tracheostomy Tube Migrating into the Tracheobronchial Tree

Sathe¹,

Priya²,

Shelke³

et al. 2016

Surgical Techniques Development

View full text Add to dashboard Cite

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson's disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

show abstract

Fractured tracheostomy tube: an overlooked foreign body

Cited by 28 publications

References 11 publications

Fractured metallic tracheostomy tube in a child: a case report and review of the literature

Fractured metallic tracheostomy tube in a child: a case report and review of the literature

Fractured tracheostomy tube presenting as a foreign body in a paediatric patient

Broken Metallic Tracheostomy Tube Migrating into the Tracheobronchial Tree

Contact Info

Product

Resources

About