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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 114-116

Well-planned successful tracheostomy tube change in a child


1 Department of Anaesthesia, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
2 Department of Head and Neck Surgical Oncology, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Unnathi Purushotham Manampadi
Department of Anaesthesia, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Hospital, Dr E. Borges Road, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/arwy.arwy_28_21

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Paediatric tracheostomy and tracheostomy tube change are associated with a higher incidence of adverse events that need to be recognised, mandating thorough evaluation and meticulous planning to avert such events. In addition, implementation of standard guidelines in every institute is necessary to maintain optimum safety. We report the successful management of a difficult paediatric tracheostomy tube change in a 3-year-old boy who had a history of failure of tracheostomy tube change in the ward 1 month following the initial tracheostomy. The initial attempt of changing the tube to secure the airway was unsuccessful. As difficulty in tube exchange was anticipated, we were able to secure the airway with endotracheal tube loaded on to a paediatric fibreoptic bronchoscope which was already positioned in the trachea. We believe that a well-planned management strategy executed in a monitored and well-equipped surrounding helped in avoiding grave consequences.


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