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BJA Advance Access published online on January 22, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh061
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted October 6, 2003

Case Reports

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

B. P. Madden 1*, A. Sheth 1, T. B. L. Ho 1, G. McAnulty 1

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

* To whom correspondence should be addressed. E-mail: adassa.savizon{at}stgeorges.nhs.uk.


  Abstract

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

Keywords: Keywords: equipment, tracheal stent; complications, tracheal tear; surgery, percutaneous tracheostomy


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