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Chapter 10 - Complications of tracheotomy

Published online by Cambridge University Press:  25 October 2011

By
Steven L. Orebaugh
Edited by
Peggy A. Seidman ,
Elizabeth H. Sinz  and
David Goldenberg
Peggy A. Seidman
Affiliation:
Stony Brook University, State University of New York
Elizabeth H. Sinz
Affiliation:
Pennsylvania State University
David Goldenberg
Affiliation:
Pennsylvania State University
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Summary

Tracheal tubes may become clogged in the postoperative period for a variety of reasons, including: tube misplacement or poor sizing; thickening and inspissation of mucus in the lumen of the tube; and presence of blood or clots in the tube. Foreign bodies introduced into a tracheal tube may lodge relatively easily, because of its rigidity, and the acute angle of the lumen. Typically, patients are immediately cognizant that a foreign body is in the tracheal tube. One of the most feared complications in a patient with a tracheal tube is that the tube is inadvertently removed before the tract has sufficiently matured. Hemorrhage may occur intraoperatively or immediately postoperatively related to lacerated vessels, or to oozing from a coagulopathic state. In recent years, percutaneous dilational tracheotomy (PDT) has been performed with increasing frequency in intensive care unit patients.

Keywords

anesthesiaearly postoperative periodelective surgical tracheotomytracheotomy tube selectioninadvertent decannulationtracheal wall
Type
Chapter
Information
Tracheotomy Management
A Multidisciplinary Approach
 , pp. 126 - 133
Publisher: Cambridge University Press
Print publication year: 2011

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