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Bronchial selective ventilation in a wide tracheocutaneous fistula
We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgic...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920360/ https://www.ncbi.nlm.nih.gov/pubmed/26029597 http://dx.doi.org/10.1016/j.rmcr.2012.10.001 |
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author | Marchioni, A. Mattioli, F. Piccinini, A. Marchioni, D. Alicandri-Ciufelli, M. Monelli, M. Presutti, L. |
author_facet | Marchioni, A. Mattioli, F. Piccinini, A. Marchioni, D. Alicandri-Ciufelli, M. Monelli, M. Presutti, L. |
author_sort | Marchioni, A. |
collection | PubMed |
description | We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, mechanical ventilation through a tracheal cannula was hindered by the reduced length of the residual trachea below the tracheotomy. The need to guarantee mechanical ventilation to the patient led to the implementation of a cuff securing system in the two main bronchi. We describe the approach that may be attempted under extreme conditions, when traditional ventilation methods cannot be applied for anatomical reasons. |
format | Online Article Text |
id | pubmed-3920360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-39203602014-10-15 Bronchial selective ventilation in a wide tracheocutaneous fistula Marchioni, A. Mattioli, F. Piccinini, A. Marchioni, D. Alicandri-Ciufelli, M. Monelli, M. Presutti, L. Respir Med Case Rep Case Report We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, mechanical ventilation through a tracheal cannula was hindered by the reduced length of the residual trachea below the tracheotomy. The need to guarantee mechanical ventilation to the patient led to the implementation of a cuff securing system in the two main bronchi. We describe the approach that may be attempted under extreme conditions, when traditional ventilation methods cannot be applied for anatomical reasons. Elsevier 2012-11-07 /pmc/articles/PMC3920360/ /pubmed/26029597 http://dx.doi.org/10.1016/j.rmcr.2012.10.001 Text en © 2012 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Marchioni, A. Mattioli, F. Piccinini, A. Marchioni, D. Alicandri-Ciufelli, M. Monelli, M. Presutti, L. Bronchial selective ventilation in a wide tracheocutaneous fistula |
title | Bronchial selective ventilation in a wide tracheocutaneous fistula |
title_full | Bronchial selective ventilation in a wide tracheocutaneous fistula |
title_fullStr | Bronchial selective ventilation in a wide tracheocutaneous fistula |
title_full_unstemmed | Bronchial selective ventilation in a wide tracheocutaneous fistula |
title_short | Bronchial selective ventilation in a wide tracheocutaneous fistula |
title_sort | bronchial selective ventilation in a wide tracheocutaneous fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920360/ https://www.ncbi.nlm.nih.gov/pubmed/26029597 http://dx.doi.org/10.1016/j.rmcr.2012.10.001 |
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