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Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report

INTRODUCTION AND IMPORTANCE: Tracheostomy has been done since ancient Greece, but in today’s modern format, it has been accepted for over one and a half centuries. Improvements in medical care and treatments have survived disabled patients who died in the past decades. Among these, tracheostomy tube...

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Autores principales: Vakili Ojarood, Mohammad, Samady Khanghah, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473327/
https://www.ncbi.nlm.nih.gov/pubmed/37663683
http://dx.doi.org/10.1097/MS9.0000000000000379
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author Vakili Ojarood, Mohammad
Samady Khanghah, Ali
author_facet Vakili Ojarood, Mohammad
Samady Khanghah, Ali
author_sort Vakili Ojarood, Mohammad
collection PubMed
description INTRODUCTION AND IMPORTANCE: Tracheostomy has been done since ancient Greece, but in today’s modern format, it has been accepted for over one and a half centuries. Improvements in medical care and treatments have survived disabled patients who died in the past decades. Among these, tracheostomy tube (TT) segment aspiration was as rare as less than 100 cases have already been documented. We reported a case of aspirated metal TT to the right main bronchus from a 12-year-old teenage girl and then reviewed the available literature. CASE PRESENTATION: The patient suffered from subglottic stenosis affected after adenotonsillectomy remained for 6 years. She was referred to the emergency department for acute respiratory distress and cyanosis. Immediately underwent rigid bronchoscopy, and on the way to the operating room, she was oxygenated from the tracheal orifice. The detached part was successfully removed. CLINICAL DISCUSSION: The common tracheostomy indications in children involve congenital or acquired airway stenosis, some conditions needing long-term ventilation, bilateral vocal fold insufficiency, and infectious compromise of the upper airway. Metal TTs for long-lasting are preferred to synthetic ones. Nevertheless, it has some potential complications. CONCLUSION: Careful inspecting, especially metallic TTs, after every disinfection and regular follow-up by the surgeon, is highly recommended to prevent potential casualties.
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spelling pubmed-104733272023-09-02 Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report Vakili Ojarood, Mohammad Samady Khanghah, Ali Ann Med Surg (Lond) Case Reports INTRODUCTION AND IMPORTANCE: Tracheostomy has been done since ancient Greece, but in today’s modern format, it has been accepted for over one and a half centuries. Improvements in medical care and treatments have survived disabled patients who died in the past decades. Among these, tracheostomy tube (TT) segment aspiration was as rare as less than 100 cases have already been documented. We reported a case of aspirated metal TT to the right main bronchus from a 12-year-old teenage girl and then reviewed the available literature. CASE PRESENTATION: The patient suffered from subglottic stenosis affected after adenotonsillectomy remained for 6 years. She was referred to the emergency department for acute respiratory distress and cyanosis. Immediately underwent rigid bronchoscopy, and on the way to the operating room, she was oxygenated from the tracheal orifice. The detached part was successfully removed. CLINICAL DISCUSSION: The common tracheostomy indications in children involve congenital or acquired airway stenosis, some conditions needing long-term ventilation, bilateral vocal fold insufficiency, and infectious compromise of the upper airway. Metal TTs for long-lasting are preferred to synthetic ones. Nevertheless, it has some potential complications. CONCLUSION: Careful inspecting, especially metallic TTs, after every disinfection and regular follow-up by the surgeon, is highly recommended to prevent potential casualties. Lippincott Williams & Wilkins 2023-07-24 /pmc/articles/PMC10473327/ /pubmed/37663683 http://dx.doi.org/10.1097/MS9.0000000000000379 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Reports
Vakili Ojarood, Mohammad
Samady Khanghah, Ali
Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title_full Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title_fullStr Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title_full_unstemmed Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title_short Successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
title_sort successful removal of an aspirated broken metal tracheostomy tube from the right main bronchus: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473327/
https://www.ncbi.nlm.nih.gov/pubmed/37663683
http://dx.doi.org/10.1097/MS9.0000000000000379
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