Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports

BACKGROUND: Tracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy. CASE PRESENTATION: We report 2 cases of fatal air embolism into th...

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Autores principales: Lother, Achim, Wengenmayer, Tobias, Benk, Christoph, Bode, Christoph, Staudacher, Dawid L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940884/
https://www.ncbi.nlm.nih.gov/pubmed/27401983
http://dx.doi.org/10.1186/s13019-016-0489-9
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author Lother, Achim
Wengenmayer, Tobias
Benk, Christoph
Bode, Christoph
Staudacher, Dawid L.
author_facet Lother, Achim
Wengenmayer, Tobias
Benk, Christoph
Bode, Christoph
Staudacher, Dawid L.
author_sort Lother, Achim
collection PubMed
description BACKGROUND: Tracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy. CASE PRESENTATION: We report 2 cases of fatal air embolism into the ECMO system as complication of percutaneous dilatational tracheostomy. Both patients had an AVALON ELITE® bi-caval cannula implanted draining blood from the vena cava superior and inferior. CONCLUSION: Since there is limited safety data on this specific group of patients, a routine early dilatational tracheostomy might be associated with a significant risk.
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spelling pubmed-49408842016-07-13 Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports Lother, Achim Wengenmayer, Tobias Benk, Christoph Bode, Christoph Staudacher, Dawid L. J Cardiothorac Surg Case Report BACKGROUND: Tracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy. CASE PRESENTATION: We report 2 cases of fatal air embolism into the ECMO system as complication of percutaneous dilatational tracheostomy. Both patients had an AVALON ELITE® bi-caval cannula implanted draining blood from the vena cava superior and inferior. CONCLUSION: Since there is limited safety data on this specific group of patients, a routine early dilatational tracheostomy might be associated with a significant risk. BioMed Central 2016-07-11 /pmc/articles/PMC4940884/ /pubmed/27401983 http://dx.doi.org/10.1186/s13019-016-0489-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Lother, Achim
Wengenmayer, Tobias
Benk, Christoph
Bode, Christoph
Staudacher, Dawid L.
Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title_full Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title_fullStr Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title_full_unstemmed Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title_short Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
title_sort fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940884/
https://www.ncbi.nlm.nih.gov/pubmed/27401983
http://dx.doi.org/10.1186/s13019-016-0489-9
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