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Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer
Joint Authors
Schweiger, John
Mangar, Devanand
Sprenker, Collin
Karlnoski, Rachel
Pullakhandam, Naga
Camporesi, Enrico M.
Source
Case Reports in Anesthesiology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Tracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation.
In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery.
Following immediate endovascular coiling, she remained ventilated and was transferred to the neurological intensive care unit.
On postoperative day ten, a percutaneous tracheostomy (PCT) was requested; however, a large ulcer or possible tracheoesophageal fistula was identified on the posterior tracheal wall following bronchoscopic assessment of the trachea.
Therefore, the requested PCT procedure was aborted.
An open tracheostomy in the operating room was completed; however, due to the position and depth of the ulcer, a reinforced endotracheal tube (ETT) was placed via the tracheostomy.
Four days later, the reinforced ETT was replaced with a Shiley distal extended tracheostomy tube to bypass the ulceration.
Careful inspection and evaluation of the tracheostomy site before PCT prevented a potentially life-threatening issue in our patient.
American Psychological Association (APA)
Schweiger, John& Sprenker, Collin& Mangar, Devanand& Karlnoski, Rachel& Pullakhandam, Naga& Camporesi, Enrico M.. 2013. Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer. Case Reports in Anesthesiology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-453190
Modern Language Association (MLA)
Schweiger, John…[et al.]. Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer. Case Reports in Anesthesiology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-453190
American Medical Association (AMA)
Schweiger, John& Sprenker, Collin& Mangar, Devanand& Karlnoski, Rachel& Pullakhandam, Naga& Camporesi, Enrico M.. Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer. Case Reports in Anesthesiology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-453190
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453190