| Acute airway obstruction associated with granulation tissue of tracheostoma--a case report. | |
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MedLine Citation:
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PMID: 16235467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report an 85-year-old tracheostomized male patient who underwent ventriculoperitoneal shunt because of hydrocephalus. Postoperative acute airway obstruction and tension pneumothorax developed due to the granulation tissue of tracheostoma which scraped off from the tracheostoma in the act of endotracheal intubation for operation and it lay dormant around until it was drawn into the endotracheal tube (ETT) by negative pressure during suction of trachea in intensive care unit. Persistent hypoxemia in consequence of airway obstruction resulted in cardiac arrest and expiratory seal of trachea eventuated in tension pneumothorax. Flexible fiberoptic bronchoscopy performed during resuscitation disclosed that the obstruction was due to granulation tissue which blocked the ETT lumen. Immediate exchange of endotracheal tube and placement of chest tube made the patient tide over this crisis. No sequela resulted from this crisis and the patient was discharged one week later. |
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Authors:
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Jieh-Jie Chen; Liang-Chih Chen; Han-Chium Chung; Chien-Hung Kuo |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 43 ISSN: 1875-4597 ISO Abbreviation: - Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-10-20 Completed Date: 2005-11-03 Revised Date: 2008-04-07 |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 173-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, ROC. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Airway Obstruction / etiology* Bronchoscopy Granulation Tissue / pathology* Humans Male Tracheostomy / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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