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Updated: Aug 24, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Silver nitrate therapy for persistent tracheocutaneous fistula following prolonged tracheostomy and invasive
Duncan J Sweeney1,2, Caroline Chao1,2,3,4, Anna Ridgers1,2,5
1Department of Respiratory and Sleep Medicine Austin Health Heidelberg Victoria Australia.
Abstract:
We report the case of a man with severe Guillain-Barré syndrome who developed a persistent tracheocutaneous fistula (TCF) following prolonged tracheostomy and mechanical ventilation. Following tracheostomy decannulation, the TCF had a deleterious effect on non-invasive positive pressure ventilation efficacy and ability to effectively clear airway secretions due to air leaking from the patent stoma. This case highlights a non-surgical approach to TCF management that is not well-described in the literature and presents an alternative management option for cohorts of patients in which the risk associated with surgical interventions may be undesirable.
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