Late fatal bleeding after percutaneous dilatational tracheostomy

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2010, Volume 14, Issue 5 : 335-337

Article

Late fatal bleeding after percutaneous dilatational tracheostomy

Hoiting O.

van den Brule J.M.D.

van Zwam P.H.

Hulsbergen-van de Kaa C.A.

Fikkers B.G.

Abstract

We present two cases of late fatal bleeding after percutaneous dilatational tracheostomy placement. The first case describes a patient who suffered fatal bleeding after percutaneous dilatational tracheostomy due to a tracheo-innominate fistula. In this patient the percutaneous dilatational tracheostomy was sited too low down. The second case describes a patient who died following venous bleeding after percutaneous dilatational tracheostomy. This patient had had previous neck surgery. We use these two cases to focus attention on two pitfalls of percutaneous dilatational tracheostomy placement in ICU patients, namely: low tracheostomy placement may lead to tracheo-innominate fistula, and patients with previous neck surgery may have aberrant vasculature. © 2010, Nederlandse Vereniging voor Intensive Care. All Rights Reserved.

Keywords

Complications

Percutaneous dilatational tracheostomy

Tracheo-innominate fistula

License

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