Life-threatening tension pneumothorax after unsuccessful tracheostomy tube exchange in a trauma patient - A case report. - Suppr | 超能文献

Life-threatening tension pneumothorax after unsuccessful tracheostomy tube exchange in a trauma patient - A case report.

作者信息

Kwon Min A, Cho Chaemin, Park Jeong Heon

机构信息

Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Korea.

出版信息

Anesth Pain Med (Seoul). 2020 Jan 31;15(1):124-128. doi: 10.17085/apm.2020.15.1.124.

DOI:10.17085/apm.2020.15.1.124

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7713853/

Abstract

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.

摘要

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd9/7713853/22ca440a3cb4/APM-15-124-f1.jpg

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