title: Airway bleed after percutaneous tracheostomy is not always procedure-related.
abstract: Tracheotomies are the most frequent surgical procedures performed in the intensive care unit. We present a case of major hemorrhage that occurred in the intensive care unit during an elective percutaneous dilational tracheostomy in a 46-year-old female diagnosed with multiple myeloma. The patient was later taken to the operation theatre and procedure-related cause of bleeding was ruled out. It was subsequently realized that the cause of bleeding was intrapulmonary and occurred coincidently with the tracheostomy.
authors.affiliation: Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai 400 012, India. vijayappatil@yahoo.com
authors.forename: Vijaya P
authors.initials: VP
authors.lastname: Patil
authors.forename: Amit
authors.initials: A
authors.lastname: Singhal
authors.forename: C S
authors.initials: CS
authors.lastname: Pramesh