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Percutaneous dilational tracheostomy Malposition leading to delayed weaning
Author(s) -
Rigg C. D.,
Edmondson L.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb06104.x
Subject(s) - medicine , limiting , percutaneous , tracheotomy , surgery , weaning , tracheostomy tube , anesthesia , tube (container) , mechanical engineering , engineering
Summary We report a patient in whom delayed weaning from ventilatory support was caused by the malposition of a percutaneous dilational tracheostomy tube. A fold of mucosa, identified at tracheoscopy, was found to be the limiting factor, and the situation was resolved by removal of the tracheostomy and reintubation. We believe that the case supports the routine use of a bronchoscope to check the position of the tracheostomy tube.