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Tracheal damage as a consequence of percutaneous dilatation tracheostomy – case reports and review of literature


Authors: B. Uhliarová 1;  P. Hanzel 2;  A. Hajtman 2
Published in: Anest. intenziv. Med., 27, 2016, č. 3, s. 162-169
Category: Intesive Care Medicine - Case Report

Overview

Percutaneous dilatation tracheostomy (PDT) is mostly performed in critically ill patients on intensive care units. The authors describe two cases of tracheal damage following PDT. Haemorrhage requiring surgical treatment with later unilateral recurrent laryngeal nerve palsy and persisting tracheal perforation occurred in one patient. Severe tracheal stenosis after PDT developed in another patient. The authors discuss the risks and benefits of standard surgical tracheostomy and PDT. Treatment options for the management of complications such as tracheo-cutaneous fistula, tracheomalacia and tracheal stenosis are mentioned.

KEYWORDS:
surgical tracheostomy – percutaneous dilatation tracheostomy – complications – tracheo-cutaneous fistula – tracheomalacia – tracheal stenosis


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