Published online Sep 27, 2020. doi: 10.5313/wja.v9.i1.3
Peer-review started: June 8, 2020
First decision: July 4, 2020
Revised: July 10, 2020
Accepted: August 25, 2020
Article in press: August 25, 2020
Published online: September 27, 2020
The usage of bronchoscopy during percutaneous dilatational tracheostomy remains under debate. The proponents of bronchoscopy advocating safety of the procedure, whereas the critics raising the concerns about the cost, possible delay in the procedure, and waiting for the device.
We are highlighting a case of percutaneous dilatational tracheostomy where bronchoscopy aided in diagnosing a rare situation of wire entrapment within the endotracheal tube, treated by withdrawing the wire from the endotracheal tube with good outcome.
The bronchoscopy guided approach permitted early diagnosis and helped to end the procedure without complication or possible major surgery in a case of accidental wire puncture of the endotracheal tube.
Core Tip: Bronchoscopic guided approach made diagnosis help to end the procedure without complication or possible major surgery.