Omar AS, Sudarsanan S, AlKhulaifi A. Unusual bronchoscopic value in percutaneous dilatational tracheostomy: A case report. World J Anesthesiol 2020; 9(1): 3-6 [DOI: 10.5313/wja.v9.i1.3]
Corresponding Author of This Article
Amr Salah Omar, MBChB, MD, MSc, PhD, Professor, Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Units, Hamad Medical Corporation, PO Box, Doha 3050, Qatar. a_s_omar@yahoo.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Author contributions: The manuscript was prepared by Omar AS; Sudarsanan S reviewed the manuscript; AlKhulaifi A supervised the work; all authors read and approved the final manuscript.
Supported bythe Medical Research Center, Hamad Medical Corporation, No. MRC-04-18-474.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Amr Salah Omar, MBChB, MD, MSc, PhD, Professor, Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Units, Hamad Medical Corporation, PO Box, Doha 3050, Qatar. a_s_omar@yahoo.com
Received: June 8, 2020 Peer-review started: June 8, 2020 First decision: July 4, 2020 Revised: July 10, 2020 Accepted: August 25, 2020 Article in press: August 25, 2020 Published online: September 27, 2020 Processing time: 106 Days and 22.9 Hours
Abstract
BACKGROUND
The usage of bronchoscopy during percutaneous dilatational tracheostomy remains under debate. The proponents of bronchoscopy advocating safety of the procedure, whereas the critics raising the concerns about the cost, possible delay in the procedure, and waiting for the device.
CASE SUMMARY
We are highlighting a case of percutaneous dilatational tracheostomy where bronchoscopy aided in diagnosing a rare situation of wire entrapment within the endotracheal tube, treated by withdrawing the wire from the endotracheal tube with good outcome.
CONCLUSION
The bronchoscopy guided approach permitted early diagnosis and helped to end the procedure without complication or possible major surgery in a case of accidental wire puncture of the endotracheal tube.