Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication

Percutaneous tracheostomy (PT) is a commonly performed procedure in ICUs as a safe and cost-effective alternative to surgical tracheostomy (ST). Bronchoscopy is frequently used during PT for real-time confirmation of needle placement and tube positioning. We present a case of a 42-year-old female wi...

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Autores principales: Kataria, Shailja, Hanssen, Diego, Kassem, Mohammed, Kataria, Sandeep, Farkas, Daniel T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503946/
https://www.ncbi.nlm.nih.gov/pubmed/37719507
http://dx.doi.org/10.7759/cureus.43593
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author Kataria, Shailja
Hanssen, Diego
Kassem, Mohammed
Kataria, Sandeep
Farkas, Daniel T
author_facet Kataria, Shailja
Hanssen, Diego
Kassem, Mohammed
Kataria, Sandeep
Farkas, Daniel T
author_sort Kataria, Shailja
collection PubMed
description Percutaneous tracheostomy (PT) is a commonly performed procedure in ICUs as a safe and cost-effective alternative to surgical tracheostomy (ST). Bronchoscopy is frequently used during PT for real-time confirmation of needle placement and tube positioning. We present a case of a 42-year-old female with a complex medical history who underwent PT and experienced acute airway loss due to endotracheal tube obstruction caused by accumulated secretions. To prevent such complications, vigilance regarding airway obstruction, cautious bronchoscope advancement, avoiding endotracheal tube puncture, and readiness to abort the procedure and replace the tube are crucial.
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spelling pubmed-105039462023-09-16 Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication Kataria, Shailja Hanssen, Diego Kassem, Mohammed Kataria, Sandeep Farkas, Daniel T Cureus Anesthesiology Percutaneous tracheostomy (PT) is a commonly performed procedure in ICUs as a safe and cost-effective alternative to surgical tracheostomy (ST). Bronchoscopy is frequently used during PT for real-time confirmation of needle placement and tube positioning. We present a case of a 42-year-old female with a complex medical history who underwent PT and experienced acute airway loss due to endotracheal tube obstruction caused by accumulated secretions. To prevent such complications, vigilance regarding airway obstruction, cautious bronchoscope advancement, avoiding endotracheal tube puncture, and readiness to abort the procedure and replace the tube are crucial. Cureus 2023-08-16 /pmc/articles/PMC10503946/ /pubmed/37719507 http://dx.doi.org/10.7759/cureus.43593 Text en Copyright © 2023, Kataria et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Kataria, Shailja
Hanssen, Diego
Kassem, Mohammed
Kataria, Sandeep
Farkas, Daniel T
Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title_full Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title_fullStr Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title_full_unstemmed Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title_short Fatal Acute Airway Obstruction During Bronchoscopy-Guided Percutaneous Tracheostomy: An Analysis of a New Complication
title_sort fatal acute airway obstruction during bronchoscopy-guided percutaneous tracheostomy: an analysis of a new complication
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503946/
https://www.ncbi.nlm.nih.gov/pubmed/37719507
http://dx.doi.org/10.7759/cureus.43593
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