Anesthetic Management for a Patient with Fractured Silver Tracheostomy Tube in the Left Main Bronchus Undergoing Rigid Bronchoscopy
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Published:
Mar 27, 2018
Keywords:
anesthesia, foreign body aspiration, fractured tracheostomy, rigid bronchoscopy, ventilation technique
Main Article Content
Abstract
A 78-year-old woman suffered from fractured silver tracheostomy tube dislodged into the left main bronchus. A rigid bronchoscopy was performed under general anesthesia starting with spontaneous ventilation technique but unable to remove it. The technique was then changed to control ventilation using intravenous drugs combined with neuromuscular blocking agents. At this time the foreign body was successfully removed.
Article Details
Section
Case reports
References
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Radpay B, Pejhan S, Dabir S, Parsa T, Radpay MZ. Fracture and aspiration of tracheostomy tube. Tanaffos 2009;8:75-78.
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Pathak V, Welsby I, Mahmood K, Wahidi M, Maclntyre N, Shofer S. Ventilation and anesthesia approaches for rigid bronchoscopy. Ann Am Thorac Soc 2014;11:628-634.
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Yuqi L, Lianhua C, Shitong L. Controlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta-analysis. Pediatr anesth 2014;24:1023-30.
10.
Loh TL, Chin R, Flynn P, Jayachandra S. Fracture and aspiration of a tracheostomy tube: A case report. BMJ Case rep Feb 19; 2014.
2.
Bossoe HH, Boe J. Broken tracheostomy tube as a foreign body. Lancet 1960; 1: 1006-1007.
3.
Okafor BC. Fracture of tracheostomy tube pathogenesis and prevention. J Laryngol Otol 1983; 97:771-774.
4.
Brockhurst PJ, Feltoe CK. Corrosion and fracture of tracheostomy tube. J Laryngol Otol 1991;105:48-49.
5.
Majid AA. Fracture silver trachesotomy tube: A case report and literature review. Singapore Med J 1989;30:602-4.
6.
Anjaneyalu C, Daka RC. Fractured tracheostomy tube as a foreign body in tracheobronchial tree. Baharain Med Bull 2003; 25:89-90.
7.
Radpay B, Pejhan S, Dabir S, Parsa T, Radpay MZ. Fracture and aspiration of tracheostomy tube. Tanaffos 2009;8:75-78.
8.
Pathak V, Welsby I, Mahmood K, Wahidi M, Maclntyre N, Shofer S. Ventilation and anesthesia approaches for rigid bronchoscopy. Ann Am Thorac Soc 2014;11:628-634.
9.
Yuqi L, Lianhua C, Shitong L. Controlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta-analysis. Pediatr anesth 2014;24:1023-30.
10.
Loh TL, Chin R, Flynn P, Jayachandra S. Fracture and aspiration of a tracheostomy tube: A case report. BMJ Case rep Feb 19; 2014.