Life-threatening tension pneumothorax after unsuccessful tracheostomy tube exchange in a trauma patient - A case report -
Background Tracheostomy tube exchange is a common and safe procedure. However, when the tracheocutaneous tract is not completely mature, cannula exchange or endotracheal tube insertion via the tracheostomy site can rarely induce life-threatening complications, including subcutaneous emphysema, loss...
| Published in: | Anesthesia and Pain Medicine |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2020-01-01
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| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/APM-15-124.pdf |
| Summary: | Background Tracheostomy tube exchange is a common and safe procedure. However, when the tracheocutaneous tract is not completely mature, cannula exchange or endotracheal tube insertion via the tracheostomy site can rarely induce life-threatening complications, including subcutaneous emphysema, loss of airway, tension pneumothorax, and pneumoperitoneum. Case We report a case of life-threatening tension pneumothorax developed during tracheostomy tube exchange with a reinforced endotracheal tube for a planned facial surgery after recent tracheostomy in a trauma patient. Conclusions Understanding of the pathogenesis and the use of preventive strategies based on it are expected to provide safer and more effective anesthetic management to patients with tracheostomy. |
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| ISSN: | 1975-5171 2383-7977 |