The use of a short-length transtracheal oxygen catheter in patients of small stature with restrictive lung disease.
Transtracheal oxygen therapy is being used with increasing frequency because it is an effective mode of oxygen delivery and is well tolerated by patients. An increase in cough and mild intermittent hemoptysis are not uncommon in the early postinsertion period but usually resolve spontaneously. Herein we present two individuals of short stature with restrictive lung disease who had persistence of excessive cough and mild hemoptysis after insertion of a standard catheter (SCOOP). Bronchoscopic evaluation in one revealed erosions of the mucosa over the carina and take-off of the right main-stem bronchus. Symptoms resolved in both individuals following placement of a shorter catheter. We suggest that greater consideration be given to matching transtracheal catheter length to patient lung size, particularly in the face of severe restrictive lung disease.
Sciurba
F C
FC
Department of Medicine, Presbyterian-University Hospital, Pittsburgh.
Hoffman
L A
LA
Wesmiller
S W
SW
Mazzocco
M C
MC
Dauber
J H
JH
D000328:Adult; D001827:Body Height; D002404:Catheterization / Q000295:instrumentation; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000628:therapy*; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation* / Q000379:methods; D011658:Pulmonary Fibrosis / Q000628:therapy*