Bourlon S, Diebolt J R, Vandevenne A, Pottecher T
Service d'anesthésie et de réanimation chirurgicale, hôpitaux universitaires de Strasbourg, France.
Ann Fr Anesth Reanim. 1998;17(9):1156-9. doi: 10.1016/s0750-7658(00)80012-x.
Subcutaneous emphysema associated with impossible tracheobronchial aspiration occurred in a patient several hours after percutaneous tracheostomy. Misplacement of tracheal cannula was diagnosed and a tube exchanger was used to replace the cannula in a normal position. Twenty hours later a tracheal tear was recognized. This paper considers the pathophysiology and prevention of such a complication.
一名患者在经皮气管切开术后数小时出现与不可能的气管支气管误吸相关的皮下气肿。诊断为气管套管位置不当,使用换管器将套管重新放置在正常位置。20小时后发现气管撕裂。本文探讨了这种并发症的病理生理学和预防方法。