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Updated: May 31, 2026
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Late life-threatening hemorrhage after percutaneous tracheostomy
Torsten Richter1, Birgit Gottschlich, Susanne Sutarski
1Department of Anesthesiology and Intensive Care Medicine, Dresden University of Technology, Carl Gustav Carus University Hospital, Fetscher Street 74, 01307 Dresden, Germany.
International Journal of Otolaryngology
|July 1, 2011
Summary
Tracheoinnominate artery fistula (TIF) is a rare but fatal complication after tracheostomy. Early diagnosis and intervention, including ultrasound and tracheal monitoring, are crucial for survival.
Area of Science:
- Vascular Surgery
- Critical Care Medicine
- Otolaryngology
Background:
- Tracheoinnominate artery fistula (TIF) is a rare, life-threatening complication following tracheostomy, often presenting with high mortality.
- Early warning signs for TIF can be absent, complicating diagnosis, particularly when cannula-tissue contact is tight.
Observation:
- Two cases of life-threatening hemorrhage due to TIF are presented, occurring six days and two months post-percutaneous dilatational tracheostomy (PDT).
- Diagnosis of TIF was challenging in both cases, with tracheal ring fracture and cannula-induced pressure ulceration implicated in fistula formation.
Findings:
- Overblocking the cannula was used as a temporizing measure before surgical repair in both patients.
- Both patients survived the TIF without developing neurological deficits.
Implications:
- Massive hemorrhage post-tracheostomy should raise suspicion for TIF.
- Pre-procedural ultrasound and regular tracheal follow-up are recommended to prevent and manage TIF.
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