Pneumothorax during percutaneous tracheostomy - a brief review of literature on attributable causes and preventable strategies

The significant advantages of percutaneous tracheostomy over surgical (open) tracheostomy has enabled its widespread acceptability and practice in intensive care units. Over the years, various modifications in the technique of percutaneous tracheostomy has increased its safety profile and reduced th...

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Published in:Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy 2017-01, Vol.49 (4), p.317-319
Main Authors: Khandelwal, Ankur, Kapoor, Indu, Goyal, Keshav, Singh, Shalendra, Jena, Bhagya Ranjan
Format: Article
Language:English
Subjects:
Anesthesiology
Chronic obstructive pulmonary disease
Guideline Adherence
Humans
Intensive care
Intensive Care Units
Ostomy
Patient Selection
Pneumothorax
Pneumothorax - etiology
Pneumothorax - prevention & control
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Tracheostomy - adverse effects
Tracheostomy - methods
Tracheotomy
Trauma
Ultrasonic imaging
Ventilators
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Summary:The significant advantages of percutaneous tracheostomy over surgical (open) tracheostomy has enabled its widespread acceptability and practice in intensive care units. Over the years, various modifications in the technique of percutaneous tracheostomy has increased its safety profile and reduced the overall complication rate. However, even though it is a bedside procedure, inappropriate patient selection and poor adherence to protocols can lead to devastating complications. One such complication, namely pneumothorax, is often overlooked. In this article, we have highlighted all the possible etiologies of pneumothorax during percutaneous tracheostomy. A brief insight into some of the preventable strategies is also discussed.
ISSN:1642-5758
1731-2531
DOI:10.5603/AIT.a2017.0050