기관절개술 후 5주 간 관리를 받지 않은 환자의 육아조직형성 증례
A Case of Granulate on Tissue Formation after Tracheostomy without Management for 5 Weeks
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Tracheostomy is a surgical procedure often performed in case of upper airway obstruction, ventilation failure due to secretion, or mechanical respiratory failure. Some of the potential complications are bleeding, tube obstruction, poor placement of the tube. In order to prevent these complications, it is important to try to avoid emergency tracheostomies, perform the practice in a prepared setting with appropriate instrument and assistants ready, and post-tracheostomy care such as suctioning, keeping it moist, cleaning and changing the tube to prevent infection, etc. In this case, the patient underwent tracheostomy for ventilator use in the ICU, and after spending five weeks in the nursing hospital without the necessary care for the tracheostomy tube, was transferred to this hospital for removal. Tests revealed granulation tissue over the T-tube and it was successfully removed with the T-tube in the operation room. There was no additional treatment after the surgery, and follow-up studies via outpatient clinic showed no sign of complications.
Abstract
Tracheostomy is a surgical procedure often performed in case of upper airway obstruction, ventilation failure due to secretion, or mechanical respiratory failure. Some of the potential complications are bleeding, tube obstruction, poor placement of the tube. In order to prevent these complications, it is important to try to avoid emergency tracheostomies, perform the practice in a prepared setting with appropriate instrument and assistants ready, and post-tracheostomy care such as suctioning, keeping it moist, cleaning and changing the tube to prevent infection, etc. In this case, the patient underwent tracheostomy for ventilator use in the ICU, and after spending five weeks in the nursing hospital without the necessary care for the tracheostomy tube, was transferred to this hospital for removal. Tests revealed granulation tissue over the T-tube and it was successfully removed with the T-tube in the operation room. There was no additional treatment after the surgery, and follow-up studies via outpatient clinic showed no sign of complications.
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