[Tracheal injuries during percutaneous tracheotomy].
Subcutaneous emphysema associated with impossible tracheobronchial aspiration occurred in a patient several hours after percutaneous tracheostomy. Misplacement of tracheal cannula was diagnosed and a tube exchanger was used to replace the cannula in a normal position. Twenty hours later a tracheal tear was recognized. This paper considers the pathophysiology and prevention of such a complication.
Bourlon
S
S
Service d'anesthésie et de réanimation chirurgicale, hôpitaux universitaires de Strasbourg, France.
Diebolt
J R
JR
Vandevenne
A
A
Pottecher
T
T
D000368:Aged; D004106:Dilatation / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000209:etiology; D013396:Suction; D014132:Trachea / Q000293:injuries*; D014140:Tracheotomy / Q000009:adverse effects* / Q000295:instrumentation
Plaie trachéale au décours d'une trachéotomie percutanée.