Tracheal cuff puncture: a complication of percutaneous internal jugular vein cannulation

Malik, Ishtiaq Ahmed; Adams, Richard G.

doi:10.1016/s0002-9343(03)00443-1

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Tracheal injuries can be the direct result of inadvertent puncture of the trachea while trying to gain vascular access with either a “finder” needle or the larger bore needle used to advance the guide wire. [ 39 40 ] Such injuries are of little significance, unless the patient is mechanically ventilated. Needle punctures of a endotracheal or trachesostomy cuff may result in a clinically apparent air leak, and hence require tube change.…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

224

138

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Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications.

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Section: Pulmonary Complicationsmentioning

confidence: 99%

Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

224

138

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show abstract

“…Many instances of tracheal puncture and ETT cuff perforation during internal jugular and subclavian vein cannulation have been reported [9,10]. Endotracheal tube cuff perforation during ventriculoatrial shunt procedure due to aberrant anatomy is an unusual circumstance.…”

Section: Discussionmentioning

confidence: 99%

Tracheal tube cuff perforation during ventriculoatrial shunt procedure

Ranganathan

Kim

Muntyan

2005

Journal of Clinical Anesthesia

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“…Also, instances of tracheal puncture and cuff perforations during internal jugular and subclavian vein puncture have been reported. [1][2][3] In most cases, such punctures caused only a small leakage and were reportedly managed using 2 % lidocaine jelly 8 mL and saline at a dilution of either 1:3 or 1:1 injected into the cuff. 4 Unfortunately, two of nine cuffs with the 1:1 dilution could not be deflated, which may have resulted from damage during extubation.…”

mentioning

confidence: 99%