Case Report of Multiple Tracheostomy Revisions due to Persistent, Recurrent Cuff Leak
Joint Authors
Williams, George W.
Azimi-Bolourian, Jian P.
Hanna, Issa A.
Source
Case Reports in Anesthesiology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
This case is a patient with amyotrophic lateral sclerosis who was unable to be separated from mechanical ventilator support and required a tracheostomy.
The patient underwent an initial open tracheostomy utilizing flexible fiberoptic tracheoscopy (FFT) in the operating room (OR).
Subsequently, he developed recurrent leaks in the tracheal tube cuff requiring multiple trips back to the operating room.
The recurrent cuff leak occurred following each tube placement until the etiology of the leak was discovered during the fourth procedure.
In the fourth procedure, the wound was explored more extensively, and it was found that there was a sharp, calcified, aberrant fragment of a tracheal cartilage ring protruding into the tracheal lumen, which was damaging the cuff of each tube.
This fragment was not visible by multiple FFTs, nor was it visible in the wound by the surgeons until wider exploration of the wound occurred.
The cartilage fragment was ultimately excised and the patient had no further cuff leaks.
Aberrant tracheal cartilage should be on the differential diagnosis for cuff leaks subsequent to surgical tracheostomy (ST) or percutaneous dilatational tracheostomy (PDT).
American Psychological Association (APA)
Azimi-Bolourian, Jian P.& Hanna, Issa A.& Williams, George W.. 2015. Case Report of Multiple Tracheostomy Revisions due to Persistent, Recurrent Cuff Leak. Case Reports in Anesthesiology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058058
Modern Language Association (MLA)
Azimi-Bolourian, Jian P.…[et al.]. Case Report of Multiple Tracheostomy Revisions due to Persistent, Recurrent Cuff Leak. Case Reports in Anesthesiology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1058058
American Medical Association (AMA)
Azimi-Bolourian, Jian P.& Hanna, Issa A.& Williams, George W.. Case Report of Multiple Tracheostomy Revisions due to Persistent, Recurrent Cuff Leak. Case Reports in Anesthesiology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058058
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058058