Airway compromising an airway.
نویسندگان
چکیده
To cite: Hoey AW, Foden N, Oakley R. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215761 DESCRIPTION There are several tracheostomy tube types that can be used by patients who present to the emergency department with temporary or long-term artificial airways. While specific knowledge of each type may not be required, it is important for the emergency physician to be aware of their general structure and the complications that can arise from them. Modern tracheostomy tubes tend to be made of plastic, but some older tubes—such as the silver Negus—can be made of metal. These tubes are particularly popular with older long-term tracheostomy patients. However, due to their cost and relative scarcity, these tubes tend to be used for longer than their intended life-span and are therefore at risk of excess wear. A 48-year-old ventilator dependent man with a silver Negus tracheostomy in situ presented to our unit acutely distressed, but not decompensated. He was mildly tachycardic, but maintained oxygen saturation via his ventilator. The metal outer cannula of his tracheostomy tube had broken off and became lodged in his left main bronchus (figure 1). The patient underwent a rigid bronchoscopy and the outer cannula was removed with minimal trauma (figure 2). He suffered transient dysphonia due to mild glottic oedema, but made a quick recovery and was later discharged home. The fracture of silver tracheostomy tubes is rare, but has previously been reported in the literature. Up to 70% of these cases involve metal (silver, copper, nickel or zinc) tracheostomy tubes. As in this case, the fracture generally occurs at the junction between the base plate and outer cannula (figure 3). Fractures are in this location in over 80% of cases, irrespective of tube type.
منابع مشابه
Pharyngeal Airway: An Analysis Using 2D vs. 3D Images in Different Malocclusions
Introdouction: The aim of this study was to compare information regarding pharyngeal airway sizes in adolescent subjects with different malocclusion classes obtained from lateral cephalograms and 3–dimensional (3D) cone-beam computed tomography (CBCT) scans. Materials and methods: In this prospective cross-sectional study, CBCT scans and lateral cephalograms of 35 subjects, taken with...
متن کاملCase Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use
Introduction: The laryngeal mask airway (LMA) is a safe method to establish airway control during general anaesthesia. In otolaryngology surgery, the use of a LMA is well established in ear surgery; however, the use of a LMA during open neck procedures remains controversial. We report a case in which the pharyngeal distortion by the LMA cuff resulted in an iatrogenic complication. Case Report...
متن کاملLimitation of Laryngeal Mask Airway Usage in Open-Neck Procedure
I read the manuscript entitled “Case Report of An Open Neck Procedure Complication Associated with Laryngeal Mask Airway Use” by Subramaniam T et al. This is a valuable manuscript describing iatrogenic complications during level-2 cervical lymph node biopsy, in which the airway is managed with laryngeal mask airway (LMA). During the procedure, the surgeon realized that the mass was actually the...
متن کاملEarly airway complication after deep and awake tracheal extubation in children less than 4 year old referring for non-pharyndeal surgeries to Kerman university hospitals
In this clinical trial 100 children less than 4 years old,who had underwent non-pharyngeal surgeries in Kerman university hospitals were selected randomly and investigated for early airway complications after tracheal extubation.patients were divided into two groups:the first group(n=50) were extubated while they were still anesthetised and the second group(n=50) were extubated after regaining...
متن کاملInternational Congress of Airway & Interstitial Lung Diseases (ICAILD 2018)
“International Congress of Airway & Interstitial Lung Diseases” took place on November 14-16, 2018, in Pardisan Hotel,Mashhad,Iran. Hosted in our home city of Mashhad, the second largest city, in the North East of Iran. It is famous for the holy shrine of Imam Reza as well as Toos,the residence of Ferdowsi, the great Persian poet. The congress scientific program presented the best in science an...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- BMJ case reports
دوره 2016 شماره
صفحات -
تاریخ انتشار 2016