We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, mechanical ventilation through a tracheal cannula was hindered by the reduced length of the residual trachea below the tracheotomy. The need to guarantee mechanical ventilation to the patient led to the implementation of a cuff securing system in the two main bronchi. We describe the approach that may be attempted under extreme conditions, when traditional ventilation methods cannot be applied for anatomical reasons. © 2012.

Marchioni A., Mattioli F., Piccinini A., Marchioni D., Alicandri-Ciufelli M., Monelli M., et al. (2012). Bronchial selective ventilation in a wide tracheocutaneous fistula. RESPIRATORY MEDICINE CASE REPORTS, 7(1), 1-3 [10.1016/j.rmcr.2012.10.001].

Bronchial selective ventilation in a wide tracheocutaneous fistula

Presutti L.
2012

Abstract

We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, mechanical ventilation through a tracheal cannula was hindered by the reduced length of the residual trachea below the tracheotomy. The need to guarantee mechanical ventilation to the patient led to the implementation of a cuff securing system in the two main bronchi. We describe the approach that may be attempted under extreme conditions, when traditional ventilation methods cannot be applied for anatomical reasons. © 2012.
2012
Marchioni A., Mattioli F., Piccinini A., Marchioni D., Alicandri-Ciufelli M., Monelli M., et al. (2012). Bronchial selective ventilation in a wide tracheocutaneous fistula. RESPIRATORY MEDICINE CASE REPORTS, 7(1), 1-3 [10.1016/j.rmcr.2012.10.001].
Marchioni A.; Mattioli F.; Piccinini A.; Marchioni D.; Alicandri-Ciufelli M.; Monelli M.; Presutti L.
File in questo prodotto:
Eventuali allegati, non sono esposti

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/795244
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? ND
social impact