Life-threatening tension pneumothorax after unsuccessful tracheostomy tube exchange in a trauma patient - A case report
| Autor: | Kwon, Min A, Cho, Chaemin, Park, Jeong Heon |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Subcutaneous emphysema
medicine.medical_specialty Trauma patient Tracheostomy Site business.industry Pneumothorax Case Report General Medicine medicine.disease Tension pneumothorax Cannula Surgery 03 medical and health sciences Tracheostomy 0302 clinical medicine Pneumoperitoneum 030202 anesthesiology medicine 030212 general & internal medicine medicine.symptom General Articles business Airway |
| Zdroj: | Anesthesia and Pain Medicine |
| ISSN: | 2383-7977 1975-5171 |
| DOI: | 10.17085/apm.2020.15.1.124 |
| Popis: | Background Tracheostomy tube exchange is a common and safe procedure. However, when the tracheocutaneous tract is not completely mature, cannula exchange or endotracheal tube insertion via the tracheostomy site can rarely induce life-threatening complications, including subcutaneous emphysema, loss of airway, tension pneumothorax, and pneumoperitoneum. Case We report a case of life-threatening tension pneumothorax developed during tracheostomy tube exchange with a reinforced endotracheal tube for a planned facial surgery after recent tracheostomy in a trauma patient. Conclusions Understanding of the pathogenesis and the use of preventive strategies based on it are expected to provide safer and more effective anesthetic management to patients with tracheostomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|