Emergency percutaneous tracheostomy after unsuccessful orotracheal intubation in a patient with an acute myocardial infarction.
A 41-year-old woman had acute respiratory failure related to a myocardial infarction. Attempts at orotracheal intubation were unsuccessful; therefore, an emergency percutaneous tracheostomy was performed. The patient was then taken to the cardiac catheterization laboratory for myocardial revascularization. After the tracheostomy cannula was removed, the patient recovered successfully and was discharged from the hospital. The percutaneous tracheostomy technique may be useful in similar patients who need emergency airway access.
Kincade
Robert C
RC
The Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas 77030, USA.
Cooper
John R
JR
D000328:Adult; D000075202:Contraindications; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D009203:Myocardial Infarction / Q000150:complications*; D009204:Myocardial Revascularization; D009765:Obesity / Q000150:complications; D012131:Respiratory Insufficiency / Q000601:surgery*; D014139:Tracheostomy / Q000295:instrumentation / Q000379:methods*