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BJA Advance Access originally published online on April 2, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 6 891-893
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Percutaneous tracheostomy: a guide wire complication

D. K. Phukan and J. Andrzejowski*

Department of Anaesthetics, C Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK

*Corresponding author. E-mail: john.andrzejowski{at}sth.nhs.uk

We report an unusual complication of percutaneous dilatational tracheostomy, in which the guide wire became lodged in the bronchial tree. The assistance of an expert bronchoscopist resulted in successful removal of a fractured J wire with no adverse sequelae for the patient. A subsequent incident has given insight into the mechanism of damage to the guide wire.

Br J Anaesth 2004; 92: 891–3


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