Anest. intenziv. Med. 2016;27(3):162-169

Tracheal damage as a consequence of percutaneous dilatation tracheostomy - case reports and review of literatureIntesive Care Medicine - Case Report

B. Uhliarová1,*, P. Hanzel2, A. Hajtman2
1 Oddelenie otorinolaryngológie, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica
2 Klinika otorinolaryngológie a chirurgie hlavy a krku, Univerzita Komenského, Jesseniova lekárska fakulta a Univerzitná nemocnica Martin, Martin

Percutaneous dilatation tracheostomy (PDT) is mostly performed in critically ill patients on intensive care units. The authors describe two cases of tracheal damage following PDT. Haemorrhage requiring surgical treatment with later unilateral recurrent laryngeal nerve palsy and persisting tracheal perforation occurred in one patient. Severe tracheal stenosis after PDT developed in another patient. The authors discuss the risks and benefits of standard surgical tracheostomy and PDT. Treatment options for the management of complications such as tracheo-cutaneous fistula, tracheomalacia and tracheal stenosis are mentioned.

Keywords: surgical tracheostomy; percutaneous dilatation tracheostomy; complications; tracheo-cutaneous fistula; tracheomalacia; tracheal stenosis

Published: June 1, 2016  Show citation

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Uhliarová B, Hanzel P, Hajtman A. Tracheal damage as a consequence of percutaneous dilatation tracheostomy - case reports and review of literature. Anest. intenziv. Med. 2016;27(3):162-169.
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