[Severe complications after a translaryngeal tracheotomy].
We report the case of a 71-year-old man receiving anticoagulant treatment because of a mechanical aortic valve. Because of an unsuccessful weaning after abdominal surgery, a translaryngeal tracheostomy was realised without incident. The patient died few days later after a hypoxic cardiac arrest due to a severe haemorrhage after the first recannulation. This case illustrates a severe complication because of the recannulation after a translaryngeal tracheostomy and how cautions one should be before realizing a percutaneous tracheostomy in a patient under anticoagulant treatment.
Soubirou
J L
JL
Département d'anesthésie-réanimation et urgences, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. soubirou@netcourrier.com
Puidupin
A
A
Augeul
G
G
Leclerc
T
T
Combourieu
E
E
Patrigeon
R G
RG
Escarment
J
J
D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D017809:Fatal Outcome; D006323:Heart Arrest / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014139:Tracheostomy / Q000009:adverse effects*
D000925:Anticoagulants