| CASE REPORT |
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| Year : 2021 | Volume
: 15
| Issue : 1 | Page : 50-52 |
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Successful application of early tracheostomy in an intubated patient who suffered from irritative stimuli by an oral tracheal tube
Keiko Uemura, Satoki Inoue, Masahiko Kawaguchi
Division of Intensive Care, Nara Medical University, 840 Shijo-cho Kashihara Nara, Japan
Correspondence Address:
Dr. Satoki Inoue
Division of Intensive Care, Nara Medical University, 840 Shijo-cho Kashihara Nara 634-8521
Japan
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/sja.SJA_790_20
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We experienced a case in which simultaneous weaning from sedation and mechanical ventilation were difficult because of instability of tracheal tube fixation that was caused by size mismatch between the trachea and the tube and by severe tracheal deviation. Irritative stimuli caused by the oral tracheal tube prevented conversion from deep sedation to light or no sedation. In this case, very early tracheostomy, which provided better tube fixation and successfully reduced the irritative stimuli to the trachea, was effective to help achieve discontinuation of sedation and facilitated successful weaning from mechanical ventilation. Eventually, the tracheostomy tube was successfully removed immediately after discontinuation of mechanical ventilation.
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