Successful application of early tracheostomy in an intubated patient who suffered from irritative stimuli by an oral tracheal tube.
Early tracheostomy
trachea-tube size mismatch
weaning from sedation
Journal
Saudi journal of anaesthesia
ISSN: 1658-354X
Titre abrégé: Saudi J Anaesth
Pays: India
ID NLM: 101500601
Informations de publication
Date de publication:
Historique:
received:
22
07
2020
accepted:
03
08
2020
entrez:
7
4
2021
pubmed:
8
4
2021
medline:
8
4
2021
Statut:
ppublish
Résumé
We experienced a case in which simultaneous weaning from sedation and mechanical ventilation were difficult because of instability of tracheal tube fixation that was caused by size mismatch between the trachea and the tube and by severe tracheal deviation. Irritative stimuli caused by the oral tracheal tube prevented conversion from deep sedation to light or no sedation. In this case, very early tracheostomy, which provided better tube fixation and successfully reduced the irritative stimuli to the trachea, was effective to help achieve discontinuation of sedation and facilitated successful weaning from mechanical ventilation. Eventually, the tracheostomy tube was successfully removed immediately after discontinuation of mechanical ventilation.
Identifiants
pubmed: 33824644
doi: 10.4103/sja.SJA_790_20
pii: SJA-15-50
pmc: PMC8016052
doi:
Types de publication
Case Reports
Langues
eng
Pagination
50-52Informations de copyright
Copyright: © 2021 Saudi Journal of Anaesthesia.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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