The "Fountain of Death": A Case Series on Tracheo-innominate Artery Fistula

被引：0

作者：

Lo, Jason Y. B. ^{[1
]}

Yeoh, Xy ^{[2
]}

Nik Hisyam, A. ^{[2
]}

Zahirrudin, Z. ^{[2
]}

Marina, M. B. ^{[1
]}

机构：

[1] Univ Kebangsaan Malaysia, Dept Otorhinolaryngol Head & Neck Surg, Fac Med, Med Ctr, Kuala Lumpur, Malaysia

[2] Penang Gen Hosp, Dept Otorhinolaryngol, George Town, Malaysia

来源：

IIUM MEDICAL JOURNAL MALAYSIA | 2021年 / 20卷 / 02期

关键词：

Tracheo-innominate artery fistula (TIF); Tracheostomy; Permissive hypotension; Complications massive bleeding; death;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Tracheo-innominate artery fistula (TIF) is a very rare complication related to tracheostomy and has been reported in 0.7% of patients, but certainly is one of the most life-threatening conditions. It is of paramount importance to maintain a high index of suspicion in evaluating patients with TIF and to anticipate occurrence of massive haemorrhage even during simple procedures related to tracheostomy such as tube change. We report 3 cases of TIF, each with a unique and unsuspecting history of the condition and review the emergency protocol in arresting the bleeding. We've also highlighted the potential role of permissive hypotension with sedation in improving survival outcomes of patients with TIF.

引用

页码：167 / 171

页数：5

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