Anesthetic management of a patient with an unusual broken tracheostomy tube: a case report

Autor: Xiang Qi, Pei-Xia Yu, Li-Jun Bo, Rong-Tian Kang
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: The Journal of International Medical Research
Journal of International Medical Research, Vol 47 (2019)
ISSN: 1473-2300
0300-0605
Popis: Objective This study was performed to investigate the management of general anesthesia in an unusual case involving a patient with a broken tracheostomy tube presenting as an airway foreign body. Methods We herein describe the anesthetic management of a patient with a broken tracheostomy tube. A 77-year-old Chinese man who had been involved in a car accident underwent a tracheostomy. One year later, he presented with cough and bleeding at the tracheostomy site. Preoperative evaluation revealed that the metal tracheostomy tube was lodged in his left main bronchus. General anesthesia was induced to maintain spontaneous breathing, and adequate topical anesthesia of the airway was administered. Results The metal tracheostomy tube was successful removed, and a new tracheal tube was put in place. Conclusions General anesthesia to maintain spontaneous breathing and adequate topical anesthesia of the airway can be safely used when removing broken tracheostomy tubes.
Databáze: OpenAIRE