Percutaneous tracheostomy in post–cervical spine fixation patients: challenging the dogma
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Department of Anesthesia, Intensive Care and Pain Medicine, AIIMS, New Delhi, Delhi, India
Kapil D. Soni, MD
Department of Intensive Care, JPNATC, AIIMS, New Delhi, Delhi
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Fig. 1
Ant. Cervical spine fixation scar extending on Trachea.
Fig. 2
PDT puncture site with blue rhino Technique.
We hereby describe the case of a patient of post–cervical spine fixation. The patient was quadriplegic after road traffic accident and underwent anterior and posterior cervical spine fixation. The patient had hypoxic cardiac arrest in perioperative period due to refractory bronchospasm and required mechanical ventilation. However, she did not improve neurologically and needed tracheostomy for expected prolonged mechanical ventilation.
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© 2016 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
