气管切开导管意外脱管——病例系列
Accidental Decannulation OF TRACHEOSTOMY TUBES - Case Series.
作者信息
Omokanye H K, Dunmade A D, Segun-Busari S, Afolabi O A, Habeeb O G, Adegboye M B, Alabi B S
机构信息
Department of Otorhinolaryngology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
出版信息
J West Afr Coll Surg. 2016 Jan-Mar;6(1):108-118.
UNLABELLED
Tracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient. We review a variety of unexpected and often-overlooked causes of accidental decannulation with suggestions on preventive measures. We therefore present three cases of accidental decannulation of tracheostomy tubes in order to report our experiences in the management of the condition.
CONCLUSION
Accidental decannulation occurs both in hospitalized and patient on home care of their tracheostomy tubes. Reduction in neck circumference due to weight loss predisposes to accidental decannulation, which could be prevented by suturing the flange to the skin.
未标注
一旦患者不再患有需要进行气管切开术的疾病，气管造口管（TT）通常会按计划移除。意外脱管或拔管是指气管造口管意外地从造口处脱出。这在原本稳定的患者中可能是致命的。我们回顾了各种意外脱管的意外且常被忽视的原因，并提出了预防措施建议。因此，我们呈现三例气管造口管意外脱管的病例，以报告我们在处理该情况方面的经验。
结论
气管造口管意外脱管在住院患者和居家护理患者中均有发生。体重减轻导致颈部周长减小易引发意外脱管，可通过将法兰盘缝合至皮肤来预防。
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