Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Register      Login

VOLUME 10 , ISSUE 2 ( May-August, 2021 ) > List of Articles


Airway Management of Massive Hemoptysis in a Tracheostomized Patient: A Clinical Approach

Fawad Bangash

Keywords : Critical care, Hemoptysis, Tracheostomy

Citation Information : Bangash F. Airway Management of Massive Hemoptysis in a Tracheostomized Patient: A Clinical Approach. Panam J Trauma Crit Care Emerg Surg 2021; 10 (2):85-86.

DOI: 10.5005/jp-journals-10030-1320

License: CC BY-NC 4.0

Published Online: 27-08-2021

Copyright Statement:  Copyright © 2021; The Author(s)


Airway management in a critical care environment is one of the most important and difficult procedures. This procedure is usually complicated with marked derangements in patients. These derangements lead to minimal time to act and maneuver intubation with no or minimal impact on the underlying condition. One of these conditions is the continued critical care need for tracheotomized patients. The complications of tracheostomy and airway management are challenging tasks. One of the complications is airway compromise due to hemorrhage requiring airway control. Here, we describe two cases with a proposed pathway.

  1. Grant CA, Dempsey G, Harrison J, et al. Tracheo-innominate artery fistula after percutaneous tracheostomy: three case reports and a clinical review. Br J Anaesth 2006;96(1):127–131. DOI: 10.1093/bja/aei282.
  2. Gasparri MG, Nicolosi AC, Almassi GH. A novel approach to the management of tracheoinnominate artery fistula. Ann Thorac Surg 2004;77(4):1424–1426. DOI: 10.1016/S0003-4975(03)01000-2.
  3. Bradley PJ. Bleeding around a tracheostomy wound: what to consider and what to do? J Laryngol Otol 2009;123(9):952–956. DOI: 10.1017/S002221510900526X.
  4. Ridley RW, Zwischenberger JB. Tracheoinnominate fistula: surgical management of an iatrogenic disaster. J Laryngol Otol 2006;120(8):676–680. DOI: 10.1017/S0022215106001514.
  5. Epstein SK. Late complications of tracheostomy. Respir Care 2005;50(4):542–549.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.