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British Journal of Anaesthesia, 2003, Vol. 90, No. 4 517-520
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Acute fatal haemorrhage during percutaneous dilatational tracheostomy

D. Shlugman1, R. Satya-Krishna2 and L. Loh1

1 Neuro-intensive Care Unit, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK. 2 Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford OX3 9DU, UK

Corresponding author. E-mail: david.shlugman@orh.nhs.uk

Percutaneous dilatational tracheostomy (PDT) is associated with a number of life-threatening complications. We present a case of massive and fatal arterial haemorrhage that occurred in the intensive care unit during an elective PDT on an 86-year-old woman following earlier evacuation of a traumatic subdural haematoma. An avulsed right subclavian artery was found at post mortem. Previous thyroid surgery and aberrant arterial anatomy contributed to the fatal outcome.

Br J Anaesth 2003; 90: 517–20


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