Case Report

Tracheostomy Cuff Herniation Following Cardiac and Pulmonary Arrest

Abstract

Tracheostomy is a widely used procedure for airway maintenance and long-term ventilation of critically ill patients in ICUs or operating rooms. Although several complications, such as bleeding, leakage, infection, and stenosis, have been previously reported due to tracheostomy, cuff herniation is a rare complication of this commonly performed procedure. The first sign of herniation is a sudden drop in oxygen saturation. Since cuff herniation is not among the first differential diagnoses for a drop in oxygen saturation, it should be considered in the absence of other common causative agents.
In this study, we delineate a case of tracheostomy cuff herniation after cardiac arrest in a 64-year-old woman who underwent coronary artery bypass graft surgery. The patient experienced a cerebrovascular accident and mediastinitis postoperatively, necessitating tracheostomy due to extended tracheal intubation, during which the cuff herniated for the first time. Furthermore, a repeat tracheostomy was performed; however, the patient ultimately expired due to complications from mediastinitis.

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Files
IssueVol 19 No 3 (2024): J Teh Univ Heart Ctr QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/jthc.v19i3.16866
Keywords
Tracheostomy Cuff herniation Cardiac arrest Pulmonary arrest Mechanical ventilation Mediastinitis
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Chaibakhsh Y, Totonchi Z, Givtaj N, Aghdaei N, Ghadimi M. Tracheostomy Cuff Herniation Following Cardiac and Pulmonary Arrest. J Tehran Heart Cent. 2024;19(3):216-219.