Abstract
Tracheostomy is a common life- saving procedure carried out for variety of indications. Of the various complications, profuse stomal bleeding could either be due to granulation tissues or major vessel fistula. We report one such case where there was repeated profuse bleeding mimicking tracheo-innominate fistula. A preliminary CT-angiogram was done, that ruled out fistula and it was safely tackled by bipolar diathermy in the operating theater. Had it been the alternative diagnosis it would definitely require a vascular surgeon. Thus CT-angiogram could be a useful investigation to pin down the cause and appropriate management
Highlights
Tracheostomy is a common procedure in intensive care units for patients who require prolonged ventilation for the prevention of tracheal stenosis and pulmonary toileting
We present a rare case of hemorrhage post tracheostomy hemorrhage which occurred on the 17th postoperative day
Active bleeding stopped and the endotracheal tube was replaced by tracheostomy tube and the stoma was packed with ribbon gauge soaked in adrenalin and oxymetazoline solution
Summary
Tracheostomy is a common procedure in intensive care units for patients who require prolonged ventilation for the prevention of tracheal stenosis and pulmonary toileting. Tracheostomy can be associated with serious complications as tracheal stenosis, increased bacterial colonization around the stoma and rarely fatal hemorrhage due to various causes.[1,2]. We present a rare case of hemorrhage post tracheostomy hemorrhage which occurred on the 17th postoperative day
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