Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Anesthesiol. Sep 27, 2020; 9(1): 3-6
Published online Sep 27, 2020. doi: 10.5313/wja.v9.i1.3
Unusual bronchoscopic value in percutaneous dilatational tracheostomy: A case report
Amr Salah Omar, Suraj Sudarsanan, Abdulaziz AlKhulaifi
Amr Salah Omar, Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Units, Hamad Medical Corporation, Doha 3050, Qatar
Suraj Sudarsanan, Abdulaziz AlKhulaifi, Cardiothoracic surgery, Hamad medical corporation, Doha 3050, Qatar
Author contributions: The manuscript was prepared by Omar AS; Sudarsanan S reviewed the manuscript; AlKhulaifi A supervised the work; all authors read and approved the final manuscript.
Supported by the Medical Research Center, Hamad Medical Corporation, No. MRC-04-18-474.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Amr Salah Omar, MBChB, MD, MSc, PhD, Professor, Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Units, Hamad Medical Corporation, PO Box, Doha 3050, Qatar. a_s_omar@yahoo.com
Received: June 8, 2020
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
Abstract
BACKGROUND

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.

CASE SUMMARY

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.

CONCLUSION

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.

Keywords: Bronchoscopy, Percutaneous, Tracheostomy, Outcome, Complication, Case report

Core Tip: Bronchoscopic guided approach made diagnosis help to end the procedure without complication or possible major surgery.