Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer
Tracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation. In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery. Following immediate endovascular coiling, she remained vent...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2013/190818 |
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| author | John Schweiger Collin Sprenker Devanand Mangar Rachel Karlnoski Naga Pullakhandam Enrico M. Camporesi |
| author_facet | John Schweiger Collin Sprenker Devanand Mangar Rachel Karlnoski Naga Pullakhandam Enrico M. Camporesi |
| author_sort | John Schweiger |
| collection | DOAJ |
| description | Tracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation. In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery. Following immediate endovascular coiling, she remained ventilated and was transferred to the neurological intensive care unit. On postoperative day ten, a percutaneous tracheostomy (PCT) was requested; however, a large ulcer or possible tracheoesophageal fistula was identified on the posterior tracheal wall following bronchoscopic assessment of the trachea. Therefore, the requested PCT procedure was aborted. An open tracheostomy in the operating room was completed; however, due to the position and depth of the ulcer, a reinforced endotracheal tube (ETT) was placed via the tracheostomy. Four days later, the reinforced ETT was replaced with a Shiley distal extended tracheostomy tube to bypass the ulceration. Careful inspection and evaluation of the tracheostomy site before PCT prevented a potentially life-threatening issue in our patient. |
| format | Article |
| id | doaj-art-1be4d8345e8a425fa9935154facd3890 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-1be4d8345e8a425fa9935154facd38902025-02-03T01:02:19ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/190818190818Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall UlcerJohn Schweiger0Collin Sprenker1Devanand Mangar2Rachel Karlnoski3Naga Pullakhandam4Enrico M. Camporesi5Florida Gulf to Bay Anesthesiology Associates, LLC, Tampa, FL 33606, USAFlorida Gulf to Bay Anesthesiology Associates, LLC, Tampa, FL 33606, USAFlorida Gulf to Bay Anesthesiology Associates, LLC, Tampa, FL 33606, USAFlorida Gulf to Bay Anesthesiology Associates, LLC, Tampa, FL 33606, USAFlorida Hospital, Orlando, FL 32804, USAFlorida Gulf to Bay Anesthesiology Associates, LLC, Tampa, FL 33606, USATracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation. In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery. Following immediate endovascular coiling, she remained ventilated and was transferred to the neurological intensive care unit. On postoperative day ten, a percutaneous tracheostomy (PCT) was requested; however, a large ulcer or possible tracheoesophageal fistula was identified on the posterior tracheal wall following bronchoscopic assessment of the trachea. Therefore, the requested PCT procedure was aborted. An open tracheostomy in the operating room was completed; however, due to the position and depth of the ulcer, a reinforced endotracheal tube (ETT) was placed via the tracheostomy. Four days later, the reinforced ETT was replaced with a Shiley distal extended tracheostomy tube to bypass the ulceration. Careful inspection and evaluation of the tracheostomy site before PCT prevented a potentially life-threatening issue in our patient.http://dx.doi.org/10.1155/2013/190818 |
| spellingShingle | John Schweiger Collin Sprenker Devanand Mangar Rachel Karlnoski Naga Pullakhandam Enrico M. Camporesi Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer Case Reports in Anesthesiology |
| title | Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer |
| title_full | Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer |
| title_fullStr | Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer |
| title_full_unstemmed | Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer |
| title_short | Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer |
| title_sort | open tracheostomy after aborted percutaneous approach due to tracheoscopy revealing occult tracheal wall ulcer |
| url | http://dx.doi.org/10.1155/2013/190818 |
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