Tracheal ring fracture and early tracheomalacia following percutaneous dilatational tracheostomy

Kapila, Atul; Colquhoun-Flannery, W.

doi:10.1186/1472-6815-5-6

Cited by 12 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Kadavrada yapılan bir çalışmada önemli derecede peristomal mukoza yırtığı ve kıkır-dak kırığı saptanmıştır (14) . Kıkırdak kırıkları işlem sırasında veya işlem sonrası ventilatör bağlantılarının trakeal açıklık etrafında uyguladığı baskı nedeniyle de oluşabilir (13,15) .…”

Section: Discussionunclassified

A Delayed Tracheal Stenosis Diagnosis For An İntensive Care Patient With Anxiety Disorder

Tezcan¹,

Savcı²,

Aydınlı³

et al. 2014

GKDA Derg

View full text Add to dashboard Cite

Section: Discussionunclassified

A Delayed Tracheal Stenosis Diagnosis For An İntensive Care Patient With Anxiety Disorder

Tezcan¹,

Savcı²,

Aydınlı³

et al. 2014

GKDA Derg

View full text Add to dashboard Cite

“…[ 10 ] However, early tracheomalacia as a result of tracheal ring fracture during percutaneous dilatational tracheostomy, which presented as difficult decannulation about a month after tracheostomy, has been reported. [ 11 ] A case of concealed tracheomalacia leading to airway obstruction immediately after tracheal intubation for elective operation has been reported and, here too, the patient had COPD. [ 12 ] In a study examining the pathologic changes after percutaneous tracheostomy, autopsies of patients showed mucosal ulceration and necrosis of the tracheal cartilage beyond the tracheostomy site as early as 10 days after the procedure.…”

Section: Discussionmentioning

confidence: 99%

Unmasking of tracheomalacia following short-term mechanical ventilation in a patient of adult respiratory distress syndrome

et al. 2012

View full text Add to dashboard Cite

Patients with chronic obstructive pulmonary disease (COPD) are susceptible to airway malacia, which may be unmasked following mechanical ventilation or tracheostomy decannulation. Dynamic imaging of central airways, a non-invasive test as effective as bronchoscopy to diagnose airway malacia, has increased the recognition of this disorder. We describe a 70-year-old woman admitted with adult respiratory distress syndrome. She had cardiorespiratory arrest on admission, from which she was successfully resuscitated. She had obesity, hypertension, diabetes mellitus, recurrent ventricular tachycardia, sarcoidosis with interstitial lung disease and COPD. She received short-term (18 days) mechanical ventilation with tracheostomy and developed respiratory distress following tracheostomy decannulation.

show abstract

“…Hereby, variation in the position of the brachiocephalic artery with respect to the trachea has to be taken into account [ 6 ]. Fracture of tracheal cartilage is described to be responsible for consistently increased cuff pressure [ 1 ] and local inflammation [ 7 ]. Ongoing mechanical irritation from the tracheal cartilage fragment and transmitted pressure from the tracheal cannula eroded the wall of the trachea and the brachiocephalic artery after only six days.…”

Section: Discussionmentioning

confidence: 99%

Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy

Richter

Gottschlich

Sutarski

et al. 2011

International Journal of Otolaryngology

View full text Add to dashboard Cite

Purpose. Formation of a tracheoinnominate artery fistula (TIF) and consecutive hemorrhage is a rare and life-threatening complication with high mortality. Warning symptoms can be absent. The current literature contains only few considerations for misleading signs, especially in cases where the contact between the tissue and the cannula is tight. Method and Results. We report two cases of life-threatening hemorrhages that appeared six days and two months after percutaneous dilatational tracheostomy (PDT) in two patients, respectively. In these cases, diagnosis of tracheoinnominate artery fistula (TIF) was difficult. Tracheal ring fracture after PDT and pressure ulceration caused by cannula were implicated in TIF formation. The cannula was overblocked to buy time before surgical closure. Both patients survived without any additional neurological deficiency. Conclusion. Massive hemorrhage in patients after tracheostomy is likely due to TIF. Ultrasound scanning before PDT and careful periodical followup of the trachea are required.

show abstract

Tracheal ring fracture and early tracheomalacia following percutaneous dilatational tracheostomy

Abstract: Background: Percutaneous dilatational tracheostomy (PDT) is increasingly popular within intensive care units for patients who need prolonged ventilatory support. Significant complications are rare.

Cited by 12 publications

References 3 publications

A Delayed Tracheal Stenosis Diagnosis For An İntensive Care Patient With Anxiety Disorder

A Delayed Tracheal Stenosis Diagnosis For An İntensive Care Patient With Anxiety Disorder

Unmasking of tracheomalacia following short-term mechanical ventilation in a patient of adult respiratory distress syndrome

Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy

Contact Info

Product

Resources

About