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Haemorrhage during minitracheotomy: reduction of risk by altered incision

Published online by Cambridge University Press:  29 June 2007

R. M. Terry  and
P. Cook
R. M. Terry*
Affiliation:
Senior Registrar in Otolaryngology; Leeds General Infirmary, Great George Street, Leeds
P. Cook
Affiliation:
Senior Registrar in AnaestheticsLeeds General Infirmary, Great George Street, Leeds
*
R. M. Terry, F.R.C.S., Senior Registrar in Otolaryngology, Leeds General Infirmary, Great George Street, Leeds
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Abstract

A 46-year-old male was admitted to an intensive care unit: for 11 days he was ventilated via a naso-tracheal tube. Because of excess tracheal secretions, a mini tracheotomy was attempted on the unit which resulted in profuse arterial haemorrhage, necessitating immediate reintubation and subsequent formal tracheostomy. The authors feel that this complication was due to a mid-line vertical incision and that this could have been avoided by a horizontal incision across the lower part of the cricothyroid membrane, as close to the cricoid cartilage as possible. They describe their recommended technique.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 207 - 208
Copyright
Copyright © JLO (1984) Limited 1989

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References

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