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Indian Journal of Anesthesia and Analgesia

Volume  4, Issue 2, April - June 2017, Pages 357-359
 

Case Report

Lost and Found! Broken Tracheostomy Tube in Situ

Kachru Nishtha*, Sarma Riniki**, Arvind Dineep***, Gupta Lalit****

*Specialist **Post Graduate Student ***Senior Resident ****Assistant Professor, Department of Anesthesiology and critical care, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi­110002.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4217.29

Abstract

 Fracture of tracheostomy tube is a rare complication. We are reporting a unique case of a broken tracheostomy tube in a patient who had recently undergone tracheostomy and was being gradually weaned in the Intensive Care Unit (ICU). The detached portion of tracheostomy tube was lodged within the trachea and was timely retrieved by the anesthetist. There is limited literature on such occurrences. Nearly all reports highlight this complication in chronic users with metallic tubes. Prompt bedside diagnosis and effective instantaneous management circumvented a more grave and fatal complication of serious respiratory compromise by further migration of the severed tracheostomy tube into bronchus.


Keywords : Broken Tracheostomy Tube; Fractured Tracheostomy Tube; Foreign Body Trachea.
Corresponding Author : Kachru Nishtha*