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Cervical osteomyelitis after percutaneous transtracheal ventilation and tracheotomy
Author(s) -
Newlands Shawn D.,
Makielski Kathleen H.
Publication year - 1996
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199605/06)18:3<295::aid-hed13>3.0.co;2-a
Subject(s) - medicine , tracheotomy , complication , surgery , subcutaneous emphysema , laryngospasm , airway , osteomyelitis , percutaneous , ventilation (architecture) , anesthesia , mechanical engineering , engineering
Background Percutaneous transtracheal ventilation has proven useful in emergent airway management. Methods A report of a case is presented. Results A 42‐year‐old woman who developed laryngospasm required emergency airway intervention. She developed massive subcutaneous emphysema and required emergent cricothyroidotomy which was immediately converted to a tracheotomy. Although she was quickly decanulated, she developed late cervical osteomyelitis which resolved with intravenous antibiotic therapy. Conclusions Cervical osteomyelitis has not been previously reported as a complication of percutaneous transtracheal ventilation or tracheotomy. Contamination of the deep neck spaces facilitated by pressure dissection of the fascial planes may have led to this complication. © 1996 John Wiley & Sons, Inc.