Tham khảo luận văn - đề án 'báo cáo y học: " fractured metallic tracheostomy tube in a child: a case report and review of the literature"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Piromchai et al. Journal of Medical Case Reports 2010 4 234 http content 4 1 234 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Fractured metallic tracheostomy tube in a child a case report and review of the literature 1 2 1 1 Patorn Piromchai Piyawadee Lertchanaruengrit Patravoot Vatanasapt Teeraporn Ratanaanekchai Sanguansak Thanaviratananich1 Abstract Introduction Tracheostomy is a common airway procedure for life support. The fracture of the tracheostomy tube is a rare complication. We report a case of a 14-year-old boy whose fractured stainless steel tracheostomy tube dislodged into the tracheobronchial tree. We include a literature review and proposed recommendations for tracheostomy care. Case presentation A 14-year-old Thai boy who had a stainless steel tracheostomy tube presented with a complaint of intermittent cough for 2 months. During tracheostomy tube cleaning his parents found that the inner tube was missing. A chest X-ray revealed a metallic density foreign body in his right main bronchus. He underwent bronchoscopic removal of the inner tracheostomy tube and was discharged without further complications. Conclusion A fractured tracheostomy tube is a rare complication. Appropriate cleaning and scheduled replacement of the tracheostomy tube may prevent this complication. Introduction Tracheostomy is a common airway procedure for life support. Across the United States of America the tracheostomy rate ranges from 150 to 300 per 100 000 patients discharged from hospital the pediatric tracheostomy rate is per 100 000 1 . The procedure is safe and the mortality rate is less than 5 2 and the complications can be categorized as early or late complications. The early complications are hemorrhage pneumothorax obstruction of the tracheostomy tube and wound infection. The late complications are granulation formation airway scarring erosion of the innominate artery and tracheoesophageal fistula. Fracture of a .
