We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Nursing Care of Patient With Tracheostomy Tube Cuff Rupture Caused by Tracheal Polyp: A Case Report.
- Authors
Feifei, Ye; Junhai, Zhen; Xiaoxiao, Guan
- Abstract
Introduction: Tracheostomy is common in patients with critical illness. Mechanical ventilation requires the airway to be closed by an inflated tracheostomy tube cuff. Tracheostomy tube cuff rupture is a serious complication of airway management. This case study summarizes the nursing care of a patient who received prolonged mechanical ventilation and had recurrent tracheostomy tube cuff ruptures caused by a tracheal polyp. Clinical Findings and Diagnosis: An 81-year-old woman was admitted because of acute exacerbation of chronic obstructive pulmonary disease. The patient had undergone percutaneous tracheostomy 3 years earlier because of difficulty in weaning from the ventilator and had recurrent lung infections that led to respiratory failure. A tracheal polyp was identified as the cause of multiple tracheostomy tube cuff ruptures. Outcomes: After the tracheal polyp was removed with bronchofiberscope guidance, the patient remained hospitalized because of difficulty in ventilator weaning but had no further tracheostomy tube cuff ruptures. Conclusion: Tracheal polyps that cause tracheostomy tube cuff ruptures are rare, but nurses should be alert to their occurrence. If a tube cuff ruptures in a patient receiving long-term mechanical ventilation, bronchoscopy should be performed as soon as possible to allow for early identification of the cause and ensure patient safety.
- Subjects
OBSTRUCTIVE lung disease diagnosis; TRACHEOTOMY; TRACHEAL diseases; NURSING; AIRWAY (Anatomy); SURGICAL complications; ARTIFICIAL respiration; DISEASE relapse; POLYPS; VENTILATOR weaning; BRONCHOSCOPY
- Publication
Critical Care Nurse, 2023, Vol 43, Issue 3, p52
- ISSN
0279-5442
- Publication type
Article
- DOI
10.4037/ccn2023649