Percutaneous tracheostomy: a guide wire complication

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Percutaneous tracheostomy: a guide wire complication.

We report an unusual complication of percutaneous dilatational tracheostomy, in which the guide wire became lodged in the bronchial tree. The assistance of an expert bronchoscopist resulted in successful removal of a fractured J wire with no adverse sequelae for the patient. A subsequent incident has given insight into the mechanism of damage to the guide wire.

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Tracheal Necrosis – A Complication of Percutaneous Tracheostomy to Remember

Tracheostomy is a commonly performed intervention with several benefits in the treatment of patients with chronic respiratory failure. Refinement of the tracheotomy technique, using percutaneous approaches have allowed bedside tracheostomy placement in the modern intensive care unit. Both percutaneous and surgical tracheostomies are associated with several early and late complications [1,2]. Th...

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Bilateral Pneumothorax as a Complication of Percutaneous Tracheostomy: Case Report.

Percutaneous dilatational tracheostomy is a common surgical procedure that is becoming the method of choice in critically ill patients whenever prolonged airway secure and/or ventilation support is needed. Although adverse events are relatively uncommon, serious life threatening complications can arise from this bedside procedure. We report a case of a 70-year-old female who developed extensive...

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Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

INTRODUCTION To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit...

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Percutaneous Tracheostomy

Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists.This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in few selected cases. Most common indication of tracheostomy in ICU is need for prolonged ventilation. About 10% of patients requiring a...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2004

ISSN: 0007-0912

DOI: 10.1093/bja/aeh141