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BJA Advance Access originally published online on January 22, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 3 437-439
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Novel approach to management of a posterior tracheal tear complicating percutaneous tracheostomy

B. P. Madden*, A. Sheth, T. B. L. Ho and G. McAnulty

Department of Cardiothoracic Surgery, St George’s Hospital, Blackshaw Road, London SW17 0QT, UK

*Corresponding author. E-mail: adassa.savizon@stgeorges.nhs.uk

We treated a patient who developed a posterior tracheal wall perforation and severe respiratory compromise following percutaneous tracheostomy, using a covered expandable metallic stent. The stent was deployed under direct vision using rigid and fibreoptic bronchoscopy. The defect was sealed and the right lung, which had been collapsed, was re-expanded. The patient was subsequently weaned from mechanical ventilation. Late complications included halitosis, which was treated with nebulized colistin sulphate, and the development of intratracheal granulation tissue, which was cleared using low power (10 W) Nd:YAG laser.

Br J Anaesth 2004; 92: 437–9


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This article has been cited by other articles:


Home page
 Canadian J. AnesthesiaHome page
P. C. MacDougall
Postoperative tracheal rupture in a patient with a difficult airway: [Rupture postoperatoire de la trachee chez un patient difficile a intuber].
Can J Anesth, April 1, 2006; 53(4): 385 - 388.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
G. A. Fritz, G. Buerschaper, S. Wolf, B. Madden, and G. McAnulty
Novel approach to management of a posterior tracheal tear complicating percutaneous tracheostomy
Br. J. Anaesth., October 1, 2004; 93(4): 598 - 598.
[Full Text] [PDF]


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