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BJA Advance Access published online on April 2, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh141
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted February 3, 2004

Case Reports

Percutaneous tracheostomy: a guide wire complication

D. K. Phukan 1 J. Andrzejowski 1*

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

* To whom correspondence should be addressed. E-mail: john.andrzejowski{at}sth.nhs.uk.


  Abstract

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.

Keywords: Keywords: complications, guide wire damage; equipment, guide wire; surgery, percutaneous tracheostomy


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