title: [Severe complications after a translaryngeal tracheotomy].
abstract: 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.
authors.affiliation: Département d'anesthésie-réanimation et urgences, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. soubirou@netcourrier.com
authors.forename: J L
authors.initials: JL
authors.lastname: Soubirou
authors.forename: A
authors.initials: A
authors.lastname: Puidupin
authors.forename: G
authors.initials: G
authors.lastname: Augeul
authors.forename: T
authors.initials: T
authors.lastname: Leclerc
authors.forename: E
authors.initials: E
authors.lastname: Combourieu
authors.forename: R G
authors.initials: RG
authors.lastname: Patrigeon
authors.forename: J
authors.initials: J
authors.lastname: Escarment
mesh_terms: 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*
chemical_list: D000925:Anticoagulants