Fractured tracheostomy tube obturator:A rare cause of respiratory distress in a tracheostomized patient

• 作者: Hadi Al Mutairi Ikram Chaudhary Mussarat Afzal
• 来源期刊: 世界麻醉学杂志
• 学科: 医学
• 关键词: RESPIRATORY DISTRESS TRACHEOSTOMY Foreign body ASPIRATION BRONCHOSCOPY
• 年，卷（期）: 2013,（3）
• 页码范围: 30-32
• 页数: 3页
• 分类号: R

摘要

Foreign body aspiration is a worldwide health problem which often results in life threatening complications.Tracheostomy tube fracture resulting in airway obstruction is a serious condition which has been reported in the medical literature.We report a rare case of a tracheostomy obturator fractured and lodged in tracheobronchial tree in a patient who presented with acute respiratory distress.Rigid or flexible bronchoscopy is frequently necessary for the diagnosis as well as the treatment.In adults,removal of the foreign body can be attempted during a diagnostic examination with a fiberoptic bronchoscope under lignocaine local infiltration with sedation,which may help to avoid any further invasive procedures.Flexible bronchoscopy should always be considered in foreign body aspiration.A periodic review of the techniques of tracheostomy care,including timely check-ups for signs of wear and tear,can possibly eliminate such avoidable late complications.