GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy

Percutaneous dilational tracheostomy (PDT) is a frequently carried out bedside procedure in a critical care setting. It is usually performed under fiberoptic endoscopic guidance. Studies with PDT performed with endoscopic guidance have reported lower complication rates than studies performed with “b...

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Detalles Bibliográficos
Autores principales: Arora, Rohini, Kumar, Sandeep, Sachan, Sumit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735457/
https://www.ncbi.nlm.nih.gov/pubmed/29284882
http://dx.doi.org/10.4103/aer.AER_45_17
Descripción
Sumario:Percutaneous dilational tracheostomy (PDT) is a frequently carried out bedside procedure in a critical care setting. It is usually performed under fiberoptic endoscopic guidance. Studies with PDT performed with endoscopic guidance have reported lower complication rates than studies performed with “blind” PDT. We report a case where PDT was performed without endoscopic assistance and the j-shaped guidewire got stuck in the Murphy's eye of endotracheal tube causing difficulty in railroading of tracheostomy tube (TT).

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