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KMID : 0356919770100020093
Korean Journal of Anesthesiology
1977 Volume.10 No. 2 p.93 ~ p.95
Cardiac Arrest during Tracheostomy Canaula Misplacement

Abstract
A case of sudden cardiac arrest due to misplaced tracheostomy cannula was reviewed. The general condition of the patient was febrile, dyspneic and acutely ill. Emergency gracheostomy was performed under ketamine-halothane endotracheal anesthesia.
Sudden cardiac arrest was noticed when a metal cannula was inserted through the tracheostomy site by the surgeon after the tracheostomy.
Immediate closed chest cardiac massage was performed successfully.
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