Laryngotracheal stenosis: a serious complication of percutaneous tracheostomy

Summary Tracheostomy in patients requiring prolonged artificial ventilation in intensive care is increasingly being performed by a percutaneous dilatational technique, in preference to the standard surgical method. Since its introduction numerous series have reported favourably on its general safety...

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Bibliographic Details
Published in:Anaesthesia 1994-01, Vol.49 (1), p.38-40
Main Authors: McFARLANE, C., DENHOLM, S. W., SUDLOW, C. L. M., MORALEE, S. J., GRANT, I. S., LEE, A.
Format: Article
Language:English
Subjects:
Adult
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Complications
subglottic stenosis
Emergency and intensive respiratory care
Equipment
percutaneous tracheostomy
Female
Follow-Up Studies
Humans
Intensive care medicine
Intermittent Positive-Pressure Ventilation
Laryngostenosis - etiology
Male
Medical sciences
Middle Aged
Surgery
tracheostomy, percutaneous dilatational
Tracheal Stenosis - etiology
Tracheostomy - adverse effects
Tracheostomy - methods
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Summary:Summary Tracheostomy in patients requiring prolonged artificial ventilation in intensive care is increasingly being performed by a percutaneous dilatational technique, in preference to the standard surgical method. Since its introduction numerous series have reported favourably on its general safety in the short‐term, but there have been few reports of longer term follow‐up of patients. We present four cases of laryngotracheal stenosis, a previously unreported complication associated with the technique, and discuss the relevance of these to the future practice of percutaneous tracheostomy.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1994.tb03311.x