[Severe complications after a translaryngeal tracheotomy].

Ann Fr Anesth Reanim

Département d'anesthésie-réanimation et urgences, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.

Published: November 2002

We report the case of a 71-year-old man receiving anticoagulant treatment because of a mechanical aortic valve. Because of an unsuccessful weaning after abdominal surgery, a translaryngeal tracheostomy was realised without incident. The patient died few days later after a hypoxic cardiac arrest due to a severe haemorrhage after the first recannulation. This case illustrates a severe complication because of the recannulation after a translaryngeal tracheostomy and how cautions one should be before realizing a percutaneous tracheostomy in a patient under anticoagulant treatment.

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http://dx.doi.org/10.1016/s0750-7658(02)00783-9DOI Listing

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