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Updated: Jun 12, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Nursing Patient With Central Airway Stenosis Complicated by Tracheo-mediastinal Fistula

Lanlan Huang1, Xiaofei Wen2, Fei Zhao2

  • 1Zhejiang Chinese Medical University, Hangzhou, China; Internal Medicine, Hangzhou First People's Hospital, Hangzhou, China.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|September 19, 2024
PubMed

The purpose of this paper is to summarize the nursing experience of a patient who developed a tracheo-mediastinal fistula following bronchoscopic balloon dilation for severe central airway stenosis due to tuberculosis. Key nursing points include: early recognition of complications; enhanced monitoring of the patient's condition to watch for recurrence of the fistula; dynamic monitoring of the circulatory system to prevent obstructive shock; evidence-based and standardized care for indwelling catheters; meticulous management throughout the course of treatment to eliminate mediastinal and subcutaneous emphysema; monitoring thrombus detachment and appropriate anticoagulant therapy; improving discharge guidance and continuous nursing. After effective treatment and careful nursing, the patient made a full recovery and was discharged smoothly.

Keywords:
Central airway stenosisbronchoscopicnursingpost-proceduretracheo-mediastinal fistula

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