Lesson of the month: management for aspiration of a silver nitrate pencil tip during tracheostomy care.
bronchoscopy
Journal
Thorax
ISSN: 1468-3296
Titre abrégé: Thorax
Pays: England
ID NLM: 0417353
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
11
07
2020
revised:
07
12
2020
accepted:
12
12
2020
pubmed:
31
1
2021
medline:
14
7
2021
entrez:
30
1
2021
Statut:
ppublish
Résumé
We present the cases of two laryngectomised patients who were treated for granulomas of the tracheostomy orifice with a silver nitrate pencil. During tracheostomy care, the tip broke off, was aspirated and fell into the bronchial tree. Necrotising ulcerative injuries of the right bronchial tree with clear delineation were found without lesions in the subsegmental division. To prevent the risk of secondary stenosis of the small airways induced by the spread of silver nitrate, we did not irrigate with saline solution as previously reported. Antibiotherapy and endoscopic monitoring were performed. Complete healing in 4-6 weeks was found without stenosis of the bronchial tree or bleeding.
Identifiants
pubmed: 33514669
pii: thoraxjnl-2020-215727
doi: 10.1136/thoraxjnl-2020-215727
doi:
Substances chimiques
Silver Nitrate
95IT3W8JZE
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
632-633Informations de copyright
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.