Successful application of early tracheostomy in an intubated patient who suffered from irritative stimuli by an oral tracheal tube

We experienced a case in which simultaneous weaning from sedation and mechanical ventilation were difficult because of instability of tracheal tube fixation that was caused by size mismatch between the trachea and the tube and by severe tracheal deviation. Irritative stimuli caused by the oral trach...

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Bibliographic Details
Published inSaudi journal of anaesthesia Vol. 15; no. 1; pp. 50 - 52
Main Authors Uemura, Keiko, Inoue, Satoki, Kawaguchi, Masahiko
Format Journal Article
LanguageEnglish
Published India Medknow Publications & Media Pvt. Ltd 01.01.2021
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Anesthesia
Case Report
early tracheostomy; trachea–tube size mismatch; weaning from sedation
Ostomy
Tracheotomy
Ventilation
Weaning
trachea-tube size mismatch
Early tracheostomy
weaning from sedation
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Summary:We experienced a case in which simultaneous weaning from sedation and mechanical ventilation were difficult because of instability of tracheal tube fixation that was caused by size mismatch between the trachea and the tube and by severe tracheal deviation. Irritative stimuli caused by the oral tracheal tube prevented conversion from deep sedation to light or no sedation. In this case, very early tracheostomy, which provided better tube fixation and successfully reduced the irritative stimuli to the trachea, was effective to help achieve discontinuation of sedation and facilitated successful weaning from mechanical ventilation. Eventually, the tracheostomy tube was successfully removed immediately after discontinuation of mechanical ventilation.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.SJA_790_20