Cause and treatment in dififcult decannulation of tracheotomy patients
10.3969/j.issn.1007-1989.2017.01.019
- VernacularTitle:气管切开后拔管困难原因分析及处理
- Author:
Gang QING
;
Wanxiu HUANG
- Keywords:
lfexible bronchoscopy;
tracheostmy;
under the bronchoscope treatment;
decannulation dififculty
- From:
China Journal of Endoscopy
2017;23(1):90-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of flexible bronchoscopy (fiberoptic bronchoscopy/electronic bron choscopy, abbreviation bronchoscopy) in the diagnosis and treatment of patients with decannulation dififcult after tracheotomy. Methods 17 cases with decannulation difficult after tracheotomy which were diagnosed and treated by lfexible bronchoscopy were reviewed and evaluated. Result Among the 17 patients with decannulation dififcult, except one failure in decannulation because of upper airway scar contracture with atresia after brain injury, the rest was successful, and decannulation rate was 94.1%. Except one patient with displacement of metal stents, and one patient with breathing dififculty after the decannulation, there was no other adverse reactions and deadly complications. Conclusion Flexible bronchoscope plays an important part in the diagnosis and treatment of the patients with decannulation dififcult after tracheotomy. It is safe and reliable, so it is worthy of clinical promotion.
