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CASE REPORT

Absence of capnography from tracheostomy: An indicator of tracheostomy tube dislodgement


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:
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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_134_18

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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