Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-13T10:16:00.202Z Has data issue: false hasContentIssue false

Chapter 10 - Complications of tracheotomy

Published online by Cambridge University Press:  25 October 2011

By
Steven L. Orebaugh
Edited by
Peggy A. Seidman ,
Elizabeth H. Sinz  and
David Goldenberg
Peggy A. Seidman
Affiliation:
Stony Brook University, State University of New York
Elizabeth H. Sinz
Affiliation:
Pennsylvania State University
David Goldenberg
Affiliation:
Pennsylvania State University
Get access

Summary

Tracheal tubes may become clogged in the postoperative period for a variety of reasons, including: tube misplacement or poor sizing; thickening and inspissation of mucus in the lumen of the tube; and presence of blood or clots in the tube. Foreign bodies introduced into a tracheal tube may lodge relatively easily, because of its rigidity, and the acute angle of the lumen. Typically, patients are immediately cognizant that a foreign body is in the tracheal tube. One of the most feared complications in a patient with a tracheal tube is that the tube is inadvertently removed before the tract has sufficiently matured. Hemorrhage may occur intraoperatively or immediately postoperatively related to lacerated vessels, or to oozing from a coagulopathic state. In recent years, percutaneous dilational tracheotomy (PDT) has been performed with increasing frequency in intensive care unit patients.

Keywords

anesthesiaearly postoperative periodelective surgical tracheotomytracheotomy tube selectioninadvertent decannulationtracheal wall
Type
Chapter
Information
Tracheotomy Management
A Multidisciplinary Approach
 , pp. 126 - 133
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×