NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis
Abstract Background Decannulation is an essential step in liberating tracheostomised patients from mechanical ventilation. There is a paucity of literature on tracheostomy decannulation methods and procedures, leaving the decision to expert opinion and institutional guidelines. Failure to decannulat...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-09-01
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| Series: | The Egyptian Journal of Bronchology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43168-023-00226-1 |
| _version_ | 1827635374748336128 |
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| author | Hadeel Mohamed Mostafa Elshazly Antonio Esquinas |
| author_facet | Hadeel Mohamed Mostafa Elshazly Antonio Esquinas |
| author_sort | Hadeel Mohamed |
| collection | DOAJ |
| description | Abstract Background Decannulation is an essential step in liberating tracheostomised patients from mechanical ventilation. There is a paucity of literature on tracheostomy decannulation methods and procedures, leaving the decision to expert opinion and institutional guidelines. Failure to decannulate may result from several reasons, such as severe dysphagia, retention of copious secretions requiring invasive airway clearing techniques, or tracheal stenosis. Meanwhile, the combined use of either non-invasive ventilation during bronchoscopy has been reported as a successful strategy in different diagnostic and therapeutic clinical conditions. Case presentation We describe a patient admitted to the intensive care unit due to respiratory failure after a decannulation process and the use of non-invasive ventilation as rescue therapy during urgent flexible bronchoscopy to support this procedure and control acute hypercapnic respiratory failure and avoid recannulation process. Conclusions This case presents the rationale approach of using non-invasive ventilation during bronchoscopy to avoid decannulation failure by accumulation of secretions during this procedure. |
| first_indexed | 2024-03-09T15:25:54Z |
| format | Article |
| id | doaj.art-f92a4cd3d73545829050e0d84b90ae58 |
| institution | Directory Open Access Journal |
| issn | 2314-8551 |
| language | English |
| last_indexed | 2024-03-09T15:25:54Z |
| publishDate | 2023-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-f92a4cd3d73545829050e0d84b90ae582023-11-26T12:33:53ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512023-09-011711310.1186/s43168-023-00226-1NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysisHadeel Mohamed0Mostafa Elshazly1Antonio Esquinas2Cairo University Kasr Alainy Faculty of MedicineCairo University Kasr Alainy Faculty of MedicineHospital General Universitario Jose M Morales MeseguerAbstract Background Decannulation is an essential step in liberating tracheostomised patients from mechanical ventilation. There is a paucity of literature on tracheostomy decannulation methods and procedures, leaving the decision to expert opinion and institutional guidelines. Failure to decannulate may result from several reasons, such as severe dysphagia, retention of copious secretions requiring invasive airway clearing techniques, or tracheal stenosis. Meanwhile, the combined use of either non-invasive ventilation during bronchoscopy has been reported as a successful strategy in different diagnostic and therapeutic clinical conditions. Case presentation We describe a patient admitted to the intensive care unit due to respiratory failure after a decannulation process and the use of non-invasive ventilation as rescue therapy during urgent flexible bronchoscopy to support this procedure and control acute hypercapnic respiratory failure and avoid recannulation process. Conclusions This case presents the rationale approach of using non-invasive ventilation during bronchoscopy to avoid decannulation failure by accumulation of secretions during this procedure.https://doi.org/10.1186/s43168-023-00226-1Non-invasive ventilationHypercapnic respiratory failureTracheostomy decannulationFlexiblebronchoscopy |
| spellingShingle | Hadeel Mohamed Mostafa Elshazly Antonio Esquinas NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis The Egyptian Journal of Bronchology Non-invasive ventilation Hypercapnic respiratory failure Tracheostomy decannulation Flexiblebronchoscopy |
| title | NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis |
| title_full | NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis |
| title_fullStr | NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis |
| title_full_unstemmed | NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis |
| title_short | NIV support bronchoscopy by tracheostomy after decannulation failure: avoid new tracheostomy—case report and review analysis |
| title_sort | niv support bronchoscopy by tracheostomy after decannulation failure avoid new tracheostomy case report and review analysis |
| topic | Non-invasive ventilation Hypercapnic respiratory failure Tracheostomy decannulation Flexiblebronchoscopy |
| url | https://doi.org/10.1186/s43168-023-00226-1 |
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