Airway bleed after percutaneous tracheostomy is not always procedure-related
Amit Singhal, C. S. Pramesh
Bleeding, complications, percutaneous tracheostomy
Citation Information :
Singhal A, Pramesh CS. Airway bleed after percutaneous tracheostomy is not always procedure-related. Indian J Crit Care Med 2009; 13 (2):96-98.
CC BY-ND 3.0
Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.
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.
Extended indications for percutaneous tracheostomy. Ann Thorac Surg 2005;80:1276-9.
Percutaneous tracheostomy in patients with severe liver disease and a high incidence of refractory coagulopathy: a prospective trial. Crit Care 2007;11:R110.
A single-center 8-year experience with percutaneous dilational tracheostomy. Ann Surg 2000;231:701-9.
P ercutaneous dilational tracheostomy: Report of 356 cases. J Trauma 1996;41:238-43.
Percutaneous dilatational tracheostomy–early results and long-term outcome of 326 critically ill patients. Intensive Care Med 1998;24:685-90.
Some important details in the technique of percutaneous dilatational tracheostomy via the modified Seldinger technique. Chest 1996;110:762-6.
Acute fatal haemorrhage during percutaneous dilatational tracheostomy. Br J Anaesth 2003;90:517-20.
An unusual cause of Pulmonary Haemorrhage in a patient with Rheumatoid Arthritis. Ann Acad Med Singapore 2004;33:365-7.
AIDS-Related Alveolar Hemorrhage: A Prospective Study of 273 BAL Procedures. Chest 2001;120:1078-84.
A Case of Pneumocystis Carinii Pneumonia with Diffuse Pulmonary Hemorrhage. Tuberc Respir Dis 2004;57:372-76.