気管切開チューブ交換：困難症例に対する金属ゾンデの役割

概要

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An 85-year-old woman with pneumonia had a fresh tracheostomy for prolonged orotracheal intubation. On the 14th day after the tracheostomy, difficulty occurred when attempting to change to a fresh tracheostomy tube, creating a false passage and loss of the airway. After several unsuccessful attempts at changing the tracheal tube for about 5 minutes, we inserted a tracheostomy tube under the guidance of a curved metallic detector which was inserted in the inner space of the tracheostomy tube. The tracheostomy tube could then be reinserted easily and safely. It is suggested that the curved metallic detector may be of benefit when a tracheostomy tube needs to be changed before maturation of the tracheal cutaneous tract.
信州医学会の論文