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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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Autores principales: Arora, Rohini, Kumar, Sandeep, Sachan, Sumit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
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
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author Arora, Rohini
Kumar, Sandeep
Sachan, Sumit
author_facet Arora, Rohini
Kumar, Sandeep
Sachan, Sumit
author_sort Arora, Rohini
collection PubMed
description 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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spelling pubmed-57354572017-12-28 GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy Arora, Rohini Kumar, Sandeep Sachan, Sumit Anesth Essays Res Case Report 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). Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5735457/ /pubmed/29284882 http://dx.doi.org/10.4103/aer.AER_45_17 Text en Copyright: © 2017 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Arora, Rohini
Kumar, Sandeep
Sachan, Sumit
GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title_full GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title_fullStr GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title_full_unstemmed GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title_short GuideWire Migrating into Murphy's Eye of Endotracheal Tube: An Unusual Complication of Percutaneous Dilational Tracheostomy
title_sort guidewire migrating into murphy's eye of endotracheal tube: an unusual complication of percutaneous dilational tracheostomy
topic Case Report
url 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
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