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

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.

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References

  1. 1.

    Yaremchuk K, Yaremchuk K (2003) Regular tracheostomy tube changes to prevent formation of granulation tissue. Laryngoscope 113(1):1–10

    Article  Google Scholar 

  2. 2.

    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

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    White AC, Kher S, O’Connor HH (2010) When to change a tracheostomy tube. Respir Care 55(8):1069–1075

    PubMed  Google Scholar 

  4. 4.

    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):573–576

    Article  Google Scholar 

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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). https://doi.org/10.1007/s12070-019-01593-2

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Keywords

  • Complications
  • Pneumothorax
  • Tracheostomy