CASE REPORT |
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Year : 2019 | Volume
: 39
| Issue : 2 | Page : 102-104 |
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Absence of capnography from tracheostomy: An indicator of tracheostomy tube dislodgement
Meng-Fu Lai1, Zhi-Fu Wu1, Chi-Yi Lin2, Yuan-Shiou Huang1
1 Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan 2 Division of Thoracic Surgery, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan
Correspondence Address:
Dr. Yuan-Shiou Huang Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District 114, Taipei Taiwan
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jmedsci.jmedsci_134_18
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Tracheostomy is a common artificial airway in the operative room (OR) or intensive care units for maintaining airway patency. Patients with tracheostomy are generally considered with a “secure” airway and would be preoxygenated before anesthesia induction. However, there are some pitfalls for an anesthesiologist when confronting with tracheostomy management. As a crucial component for ventilation, any management of tracheostomy should be conducted prudently. We report a case with tracheostomy presented to OR with loss of capnography but fair oxygen saturation which proved to be tube dislodgement by fiber-optic bronchoscopy timely without further desaturation. |
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