Paper Information

Journal:   PAJOUHESH DAR PEZESHKI   2015 , Volume 39 , Number 3; Page(s) 152 To 155.
 
Paper: 

RESPIRATORY COMPLICATIONS FOLLOWING CLOT INDUCED TRACHEAL TUBE OBSTRUCTION, REPORT OF AN UNUSUAL CASE AND DISCUSSION

 
 
Author(s):  RADPAY BADIOZAMAN, POORZAMANY NEJAT KERMANY MAHTAB, DABIR SHIDEH*, PEJHAN SAVIZ, RADPAY MOHAMMAD ZAMAN
 
* SHOHADAYE TAJRISH MEDICAL CENTER, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Background: Airway obstruction due to post intubation blood clot is seen in different situations. Its effects on respiratory system could be varyies from a little change to a life-threatening disorder. Clot in endotracheal can mimic clinical signs and radiographic changes in focal obstructive airway trac.
Clinical findings: We report the patient with severe hemoptysis due to tuberculosis. When the patient was under rigid bronchoscopy suddenly, tracheal ruptured and tracheal tube filled of bright red blood and clot. Obstruction was recorded. Diagnosis by clinical and para clinical and endoscopic evaluation. Initial treatments includes: lavage, suction and pull out of clot by forceps was done. The second treatments in this situation are rigid bronchoscopy, fogarty catheter and regional thrombolytic agents. If clot in endotracheal tube is established, treatment is changing the tube as soon as possible. Delay can cause death or severe morbidities.
Conclusion: Airway obstruction due to blood clot is rare but is a serious dangerous complication. Early diagnosis can be effective in prevention of life treatment disorders.

 
Keyword(s): ENDOTRACHEAL COLT, OBSTRUCTION, BRONCHOSCOPY, TRACHEAL RUPTURE
 
References: 
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