Abstract

We read with interest the recent article in the November 1993 issue of Chest by de Groot et al 1 De Groot REB Dik H De Groot HGW Bakker W A nearly fatal tracheal obstruction resulting from a transtracheal oxygen catheter.. Chest. 1993; 104: 1634-1635 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar describing a nearly fatal tracheal obstruction resulting from the formation of a mucous plug around the tip of a transtracheal oxygen catheter. We also recently had a patient with a serious complication related to this type of therapy. Our patient was a 69-year-old white man with a history of oxygen-dependant COPD, a paralyzed left hemidiaphragm, and stable chronic lymphocytic leukemia. He had a transtracheal oxygen catheter placed in 1987 without significant problem. He recently presented to the emergency room complaining of a 1-week history of increasing cough, throat discomfort, and dyspnea. He was seen by the otorhinolaryngologist who had placed the catheter originally.

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