Anesthetic Management for a Patient with Fractured Silver Tracheostomy Tube in the Left Main Bronchus Undergoing Rigid Bronchoscopy
Keywords:
anesthesia, foreign body aspiration, fractured tracheostomy, rigid bronchoscopy, ventilation techniqueAbstract
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.
References
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright
Copyright of all articles published in the Thai Journal of Anesthesiology is held by the Thai Journal of Anesthesiology, the Royal College of Anesthesiologists of Thailand. Submission of a manuscript constitutes the authors' agreement that, upon acceptance for publication, copyright of the work is transferred to the Journal. The content and any opinions expressed in published articles are the sole responsibility of the authors and do not necessarily reflect the views of the editorial board or the Royal College of Anesthesiologists of Thailand.
Licensing
All articles are published open access under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). Under this license, anyone may copy and redistribute published articles in any medium or format for non-commercial purposes, provided that appropriate credit is given to the authors and to the Thai Journal of Anesthesiology as the original source of publication, a link to the license is included, and the material is not modified in any way. Requests for commercial use or for adaptation of published material should be directed to the editorial office.
Authors' Rights
Although copyright is held by the Journal, authors retain the right to reuse their own published material in their future scholarly works, theses and dissertations, teaching, and academic presentations, and to deposit the final published version (PDF) in institutional or subject repositories or on personal and institutional websites, without embargo, provided that the Thai Journal of Anesthesiology is clearly acknowledged as the original place of publication.
