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Intraoperative herniation of a tracheostomy tube cuff

Published online by Cambridge University Press:  29 June 2007

Yaron Bar-Lavie ,
Albert Gatot  and
Ferit Tovi
Yaron Bar-Lavie
Affiliation:
Department of Anaesthesia, Soroka Medical Centre, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Albert Gatot
Affiliation:
Department Otolaryngology, Soroka Medical Centre, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Ferit Tovi*
Affiliation:
Department Otolaryngology, Soroka Medical Centre, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
*
Address for correspondence: Dr Ferit Tovi, Department of Otolaryngology, Soroka Medical Centre, PO Box 151, Beer-Sheva 84101, Israel
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Abstract

A case of intraoperative tracheostomy tube obstruction is reported. The clinical features and the chain of events leading to the diagnosis of cuff herniation are presented. The different mechanisms of herniation are discussed. In the present case we speculate that a manufacturing defect together with nitrous oxide diffusion into the cuff caused dilatation and herniation of the latter which led to obstruction of the distal tube lumen. We draw attention to this rare but life-threatening complication.

Keywords

TracheostomyAirway obstruction
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 2 , February 1995 , pp. 159 - 160
Copyright
Copyright © JLO (1984) Limited 1995

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References

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