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


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.

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Correspondence to Rajeev Chauhan.

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Luthra, A., Chauhan, R., Sabarwal, P. et al. To Be Cautious or Not: Tension Pneumothorax After First Tracheostomy Tube Exchange. Indian J Otolaryngol Head Neck Surg 71, 852–854 (2019).

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  • Complications
  • Pneumothorax
  • Tracheostomy