Fractured Tracheostomy Tube - An Unusual Foreign Body in Tracheobronchial Tree
Article Sidebar
Main Article Content
Abstract
Introduction
Approximately 20% of patients with tracheostomy are discharged from hospital with the tracheostomy tube in situ. Proper long term care and management of such tracheostomy patients remains as a challenge to care givers. Fracture of metallic tracheostomy tube (TT) with aspiration of the fragment into tracheobronchial airway is a rare complication of tracheostomy.
Case Report
Here we are presenting a case of a 42-year-old male patient, presented to the emergency department with complaint of mild respiratory distress following aspiration of fractured metallic TT and a novel method in removing the dislodged fragment.
Discussion
A detailed review of literature has been included to discuss different aspects of aspiration of fractured fragment of tracheostomy tube and best practice recommendations for proper tracheostomy care.
Conclusion
Educating the care-giver about care of the tracheostomized patient in general and care of the tracheostomy tube in particular, may help reduce accidental complications.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Parker V, Shylan G, Archer W, McMullen P, Smith K, Giles M, Morrison J, Austin N. Trends and challenges in the management of tracheostomy in older people: the need for a multidisciplinary team approach. Contemporary nurse 2007; 26(2):177-83
Everitt E. Care of patients with permanent tracheostomy. Nursing times 2016; 112(21-23):20
Lewis CW, Carron JD, Perkins JA, Sie KC, Feudtner C. Tracheotomy in pediatric patients: a national perspective. Arch Otolaryngol Head Neck Surg. 2003; 129(5):523-9
Bassoe HH, Bo̸e J. Broken tracheotomy tube as a foreign body. The Lancet; 275(7132):1006-7
Gupta SC. Fractured tracheostomy tubes in the tracheobronchial tree: A report of nine cases. J Laryngol Otol. 1987; 101(08):861-7
Piromchai P, Lertchanaruengrit P, Vatanasapt P, Ratanaanekchai T, Thanaviratananich S. Fractured metallic tracheostomy tube in a child: a case report and review of the literature. J Med Case Rep. 2010; 4(1):234
Sood RK. Fractured tracheostomy tube. J Laryngol Otol. 1973; 87: 1033-4
Brockhurst PJ, Feltoe CK. Corrosion and fracture of a silver tracheostomy tube. J Laryngol Otol. 1991; 105(01):48-9
Jensen OV, Pedersen U. Fractures in polyvinyl chloride tracheostomy tubes. J Laryngol Otol. 1988;102(04):380-1
Okafor BC. Fracture of tracheostomy tubes. Pathogenesis and prevention. J Laryngol Otol. 1983; 97(08):771-4
Krishnamurthy A, Vijayalakshmi R. Broken tracheostomy tube: A fractured mandate. J Emerg Trauma Shock. 2012; 5(1):97
So-ngern A, Boonsarngsuk V. Fractured metallic tracheostomy tube: A rare complication of tracheostomy. Respir Med Case Rep. 2016 ; 19:46-8
Karakoc F, Cakir E, Ersu R, Uyan ZS, Colak B, Karadag B, Kiyan G, Dagli T, Dagli E: Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms. Int J Pediatr Otorhinolaryngol. 2007; 71: 241-246. 10.1016/j.ijporl.2006.10.006
Lynrah ZA, Goyal S, Goyal A, Lyngdoh NM, Shunyu NB, Baruah B, Dass R, Yunus M, Bhattacharyya P. Fractured tracheostomy tube as foreign body bronchus: our experience with three cases. Int J Pediatr Otorhinolaryngol. 2012; 76(11):1691-5
Tahir N, Ramsden WH, Stringer MD. Tracheobronchial anatomy and the distribution of inhaled foreign bodies in children. Eur J Pediatr. 2009; 168(3):289-95
Alqudehy ZA, Alnufaily YK. Fractured tracheostomy tube in the tracheobronchial tree of a child: Case report and literature review. J Otolaryngol Head Neck Surg. 2010; 39:E70–3
Ranjan K, Phookan J, Devi HR, Das MP. Broken Synthetic Tracheostomy Tube Presenting As Tracheobronchial Foreign Body-A Case Report. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS);1(15):13-4
Loh TL, Chin R, Flynn P, Jayachandra S. Fracture and aspiration of a tracheostomy tube. BMJ Case Rep. 2014 Feb 19; 2014:bcr2013203232
Srirompotong S, Kraitrakul S: Fractured inner tracheostomy tube: an unusual tracheobronchial foreign body. Srinagarind Med J. 2001; 16: 223-5
Krempl GA, Otto RA: Fracture at fenestration of synthetic tracheostomy tube resulting in a tracheobronchial airway foreign body. South Med J. 1999; 92: 526-8