Tracheal tear and tension pneumothorax complicating bronchoscopy-guided percutaneous tracheostomy

Brander, Lukas; Takala, Jukka (2006). Tracheal tear and tension pneumothorax complicating bronchoscopy-guided percutaneous tracheostomy. Heart & lung, 35(2), pp. 144-5. New York, N.Y.: Elsevier 10.1016/j.hrtlng.2005.09.007

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Percutaneous dilatational tracheostomy (PDT) is a frequently conducted procedure in critically ill patients. Bronchoscopic guidance of PDT is generally recommended to minimize the risk of unintentional tracheal injury. We present a case of tracheal tear and tension pneumothorax, a rare but potentially life-threatening complication, during continuously bronchoscopy-guided PDT. Sealing the large tracheal air fistula with the cuff of an endotracheal tube helped bridge time to definitive surgical repair in our patient. Bronchoscopic guidance may minimize, but cannot completely eliminate, the risk of tracheal injury during PDT.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Brander, Lukas and Takala, Jukka

ISSN:

0147-9563

ISBN:

16543045

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:48

Last Modified:

06 Dec 2013 13:42

Publisher DOI:

10.1016/j.hrtlng.2005.09.007

PubMed ID:

16543045

Web of Science ID:

000236251000010

URI:

https://boris.unibe.ch/id/eprint/19944 (FactScience: 3022)

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