Occluded inner cannula (fresh tracheostomy)

65 year old man who has been in the MICU for 14 days with ARDS. He had a percutaneous tracheostomy performed 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because the high pressure alarm is going off on the ventilator and the patient is becoming hypoxic. The nurse states that this happened immediately after completion of a portable chest x-ray. The patient will initially be in respiratory distress, will develop progressive hemodynamic instability and worsening hypoxia. Learner will assess the patient and should diagnose and manage tracheostomy occlusion and tension pneumothorax

Additional information

Learner

Physician

Contributor

NYU

Case Setting

ICU

Specialty

Emergency medicine, ENT, Internal medicine, Pulmonology, Surgery

Room Size

12×12

Language

English

Status

Coming Soon