ACA App
Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
Home | About us | Editorial Board | Search | Ahead of print | Current Issue | Archives | Submission | Subscribe | Advertise | Contact | Login 
Users online: 71 Small font size Default font size Increase font size Print this article Email this article Bookmark this page
 


 

 
     
    Advanced search
 

 
 
     
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


    Article Figures

 Article Access Statistics
    Viewed2178    
    Printed90    
    Emailed1    
    PDF Downloaded298    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 


 
INTERESTING CARDIOTHORACIC IMAGE Table of Contents   
Year : 2007  |  Volume : 10  |  Issue : 2  |  Page : 154
Over-distended tracheostomy tube cuff: A sign of tracheomalacia


Department of Anaesthesiology and Intensive Care, G.B. Pant Hospital, New Delhi., India

Click here for correspondence address and email
 

How to cite this article:
Tempe DK, Goel S. Over-distended tracheostomy tube cuff: A sign of tracheomalacia. Ann Card Anaesth 2007;10:154

How to cite this URL:
Tempe DK, Goel S. Over-distended tracheostomy tube cuff: A sign of tracheomalacia. Ann Card Anaesth [serial online] 2007 [cited 2020 Sep 21];10:154. Available from: http://www.annals.in/text.asp?2007/10/2/154/37943


A 63-year-old woman with a 12-year history of large multinodular goitre and difficulty in breathing in supine position underwent subtotal thyroidectomy. She also had weakness of the left side, which was diagnosed as motor neuron disease (MND). Postoperatively, the patient required ventilatory assistance due to inadequate respiratory effort and was tracheostomised four days later. The tracheostomy cuff was inflated with 5 to 7 mL of air to achieve minimal leak around the cuff. Despite normalizing thyroid status with thyroxine, the patient could not be weaned off ventilator due to progressive MND. After two months, a leak around the cuff was noticed, which resolved by inflation of additional air. This problem continued over the next few days. Chest radiograph revealed an over­distended tracheostomy tube cuff suggesting tracheomalacia, which was confirmed by fibreoptic bronchoscopy. In view of the progressive MND, no definitive treatment for tracheomalacia was offered. Over next few days, the leak persisted and the chest radiograph revealed a large overdistended cuff. (arrows). Nearly 25 to 30 mL of air was required to achieve adequate sealing effect.[Figure 1]

Top
Correspondence Address:
Deepak K Tempe
Department of Anaesthesiology and Intensive Care, G.B. Pant Hospital, New Delhi - 110 002.
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.37943

Rights and Permissions


    Figures

  [Figure 1]

This article has been cited by
1 Adjusting cuff pressure based on ventilator waveforms
Jin Xiong Lian
Nursing Critical Care. 2009; 4(6): 10
[Pubmed] | [DOI]



 

Top