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KMID : 1155520200150010124
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Anesthesia and Pain Medicine
2020 Volume.15 No. 1 p.124 ~ p.128
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Life-threatening tension pneumothorax after unsuccessful tracheostomy tube exchange in a trauma patient - A case report -
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Kwon Min-A
Cho Chae-Min
Park Jeong-Heon
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Abstract
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Background: Tracheostomy tube exchange is a common and safe procedure. However, when the tracheocutaneous tract is not completely mature, cannula exchange or endotracheal tube insertion via the tracheostomy site can rarely induce life-threatening complications, including subcutaneous emphysema, loss of airway, tension pneumothorax, and pneumoperitoneum.
Case: We report a case of life-threatening tension pneumothorax developed during tracheostomy tube exchange with a reinforced endotracheal tube for a planned facial surgery after recent tracheostomy in a trauma patient.
Conclusions: Understanding of the pathogenesis and the use of preventive strategies based on it are expected to provide safer and more effective anesthetic management to patients with tracheostomy.
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KEYWORD
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Pneumothorax, Subcutaneous emphysema, Tracheostomy
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