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To Be Cautious or Not: Tension Pneumothorax After First Tracheostomy Tube Exchange

  • Ankur Luthra
  • Rajeev ChauhanEmail author
  • Pranshuta Sabarwal
  • Asish kumar Sahoo
Clinical Report
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Abstract

Tracheostomy tube change is a relatively common procedure once a tracheo-cutaneous tract matures. Regular tracheostomy tube changes prevent the formation of granulation tissue and reduce bacterial colonization (Yaremchuk and Yaremchuk in Laryngoscope 113(1):1–10, 2003). However, serious complications such as subcutaneous emphysema, loss of airway and mediastinitis, can occur if the tube exchange is performed inappropriately. We present a rare association of tension pneumothorax following a tracheostomy tube exchange in a 50-year-old patient who underwent tracheotomy 3 days back. The patient was successfully managed conservatively with chest tube and supportive care.

Keywords

Complications Pneumothorax Tracheostomy 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with animals performed by any of the authors.

References

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    Yaremchuk K, Yaremchuk K (2003) Regular tracheostomy tube changes to prevent formation of granulation tissue. Laryngoscope 113(1):1–10CrossRefGoogle Scholar
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    Cipriano A, Mao ML, Hon HH et al (2015) An overview of complications associated with open and percutaneous tracheostomy procedures. Int J Crit Illn Inj Sci 5:179–188.  https://doi.org/10.4103/2229-5151 CrossRefGoogle Scholar
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    White AC, Kher S, O’Connor HH (2010) When to change a tracheostomy tube. Respir Care 55(8):1069–1075Google Scholar
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    Tabaee A, Lando T, Rickert S, Stewart MG, Kuhel WI, Tabaee A et al (2007) Practice patterns, safety, and rationale for tracheostomy tube changes: a survey of otolaryngology training programs. Laryngoscope 117(4):573–576CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • Ankur Luthra
    • 1
  • Rajeev Chauhan
    • 1
    Email author
  • Pranshuta Sabarwal
    • 1
  • Asish kumar Sahoo
    • 1
  1. 1.Department of AnaesthesiaPGIMERChandigarhIndia

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