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VOLUME 23 , ISSUE 8 ( August, 2019 ) > List of Articles

CASE REPORT

An Unusual Cause of Failed Tracheal Decannulation—A Case Report

Sailaja Kambhampati, K Lavanya

Keywords : Decannulation, Failure, Membrane, Vocal cords, Weaning

Citation Information : Kambhampati S, Lavanya K. An Unusual Cause of Failed Tracheal Decannulation—A Case Report. Indian J Crit Care Med 2019; 23 (8):378-379.

DOI: 10.5005/jp-journals-10071-23223

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Failure of decannulation may occur due to unexpected upper airway problems. However, the presence of a membrane in between the vocal cords is usually rare. We report a case of a 46-year-old female, who presented with focal seizures and progressed to status epilepticus. She was put on a mechanical ventilator because of hypoxic arrest. As she required prolonged ventilatory support, tracheostomy and gradual weaning from ventilator support to T-piece was done. Following stable hemodynamics, decannulation trial was attempted which failed. Subsequently, bronchoscopy was done to assess the upper airway. It revealed a thick membrane in between the vocal cords. Further examination with an indirect laryngoscope under general anesthesia confirmed the findings, and the membrance was excised. Decannulation was successful the very following day and the patient was discharged with stable hemodynamics.


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