Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy
Joint Authors
Ragaller, Maximilian
Sutarski, Susanne
Richter, Torsten
Gottschlich, Birgit
Müller, Rainer
Source
International Journal of Otolaryngology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-04-14
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Purpose.
Formation of a tracheoinnominate artery fistula (TIF) and consecutive hemorrhage is a rare and life-threatening complication with high mortality.
Warning symptoms can be absent.
The current literature contains only few considerations for misleading signs, especially in cases where the contact between the tissue and the cannula is tight.
Method and Results.
We report two cases of life-threatening hemorrhages that appeared six days and two months after percutaneous dilatational tracheostomy (PDT) in two patients, respectively.
In these cases, diagnosis of tracheoinnominate artery fistula (TIF) was difficult.
Tracheal ring fracture after PDT and pressure ulceration caused by cannula were implicated in TIF formation.
The cannula was overblocked to buy time before surgical closure.
Both patients survived without any additional neurological deficiency.
Conclusion.
Massive hemorrhage in patients after tracheostomy is likely due to TIF.
Ultrasound scanning before PDT and careful periodical followup of the trachea are required.
American Psychological Association (APA)
Richter, Torsten& Gottschlich, Birgit& Sutarski, Susanne& Müller, Rainer& Ragaller, Maximilian. 2011. Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy. International Journal of Otolaryngology،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-505718
Modern Language Association (MLA)
Richter, Torsten…[et al.]. Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy. International Journal of Otolaryngology No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-505718
American Medical Association (AMA)
Richter, Torsten& Gottschlich, Birgit& Sutarski, Susanne& Müller, Rainer& Ragaller, Maximilian. Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy. International Journal of Otolaryngology. 2011. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-505718
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505718