scholarly journals Fractured tracheostomy tube presenting as a foreign body in a paediatric patient

2016 ◽  
pp. bcr2015213963 ◽  
Author(s):  
Suman Lata Gupta ◽  
Srinivasan Swaminathan ◽  
Ravivalar Ramya ◽  
Satyen Parida
2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.


2012 ◽  
Vol 76 (11) ◽  
pp. 1691-1695 ◽  
Author(s):  
Zareen Aliiana Lynrah ◽  
Shilpa Goyal ◽  
Amit Goyal ◽  
Nari Mary Lyngdoh ◽  
Neizekhotuo Brian Shunyu ◽  
...  

1993 ◽  
Vol 107 (5) ◽  
pp. 463-464 ◽  
Author(s):  
S. K. Bhargava ◽  
N. Bhat ◽  
K. B. Bhargava

We present a rare case where the introducer of a metal tracheostomy tube became lodged in the tracheobronchial tree. This may be the only reported case. The literature is reviewed to study the possible cause of tracheostomy tube component fracture and to suggest methods for preventing this complication.


1996 ◽  
Vol 110 (11) ◽  
pp. 1069-1071 ◽  
Author(s):  
S. C. Gupta ◽  
Hemant Ahluwalia

AbstractA rare case of an overlooked fractured metallic Fuller's tracheostomy tube in the posterior basal segment of the left lung is reported along with a review of the literature. Incidence, aetiology, delay in diagnosis, complications and management of overlooked foreign bodies are discussed. Various factors contributing to the fracture of tracheostomy tubes are reviewed.


Author(s):  
James May ◽  
Katrina Mason ◽  
Parag Patel ◽  
Brendan Madden

The COVID-19 pandemic has resulted in a significant increase in the number of tracheostomised patients in hospitals requiring ventilatory support. These patients require highly specialist care, but overwhelmed hospital systems with stretched human resources potentially leave these patients cared for by undertrained healthcare professionals. We describe a rare complication where a routine COVID-19 swab done incorrectly via a tracheostomy tube, resulted in a snapped-off swab in the trachea. We outline the events and our method of removal using rigid bronchoscopy through the tracheostomy stoma as endo-tracheal bronchoscopy was impossible due to significant sub-glottic stenosis. This case highlights the paramount importance of the unique care needed to safely manage tracheostomies during this ongoing pandemic.


2020 ◽  
Vol 19 ◽  
pp. 100728
Author(s):  
Vaibhav Saini ◽  
Devanshu Kwatra ◽  
Uma Rathi

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