A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management
Authors
Abstract
Introduction: Percutaneous Dilatational Tracheotomy (PDT) is a procedure established for the management of airway and ventilation in the medium to long term for critically ill patients in the ICU. Bleeding is one of the most frequent early complications of tracheostomy. The comorbid conditions of critically ill patients increase the risk of bleeding complications. The aim of this case was to identify factors that increase the risk of bleeding complications in critically ill patients undergoing Percutaneous Dilatational Tracheostomy (PDT) and its management
Case: Two cases of patients experiencing bleeding complications after PDT were reported. The bleeding in these patients were suspected to be caused by coagulation disorders due to sepsis and chronic kidney disease. The bleeding occurred on day-1 and 2 post-PDT procedure. Bleeding complications that were not resolved with general management were managed by subcutaneous suturing in the anatomical region of branching arteries and veins that supply the trachea.
Conclusion: Bleeding after PDT are a part of early complications of tracheostomy procedures. This complication is more often found in critically ill patients. Management can be carried out by suturing the anatomical region of branching arteries and veins supplying the trachea.
Similar Articles
- Ilham Habib Djarkoni, Muhammad Iqbal Basri, Muhammad Akbar, Firdaus Hamid, Andi Kurnia Bintang, Jumraini Tamasse, High Density Lipoprotein (HDL) Level and Blood Urea Nitrogen (BUN)/Creatinin Ratio Relationship with One-Month Outcome in Acute Ischemic Stroke Patients , Journal of Society Medicine: Vol. 2 No. 12 (2023): December
- Enggar Sari Kesumawardani, Zainal Safri, Harris Hasan, Refli Hasan, Cut Aryfa Andra, Tengku Winda Ardini, The Relationship Between Serum Apolipoprotein B Levels and Severity of Coronary Lesions Using The Syntax Score in Non-St Segment Elevation Acute Myocardial Infarction Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
- Perdana Liansyah Sihite, Abdullah Hambali, Muhammad Firdaus Kamil, Muhsin Muhsin, Azhari Gani, Muhammad Diah, Thyroid Heart Disease in Young Male, a Case Report , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
- Akhyar Hamonangan Nasution, Aznan Lelo, Catechol-O-Methyltransferase (COMT) Enzyme Level In Preoperative Anxiety Patients , Journal of Society Medicine: Vol. 1 No. 1 (2022): October
- Dina Khairunnisah, Harris Hasan, Abdul Halim Reynaldo, Teuku Bob Haykal, Yuke Sarastri, The Relationship Between Aerobic Physical Exercise to Functional Capacity in Heart Failure Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
- Ratna Mariana Tamba, Hilfan Ade Putra Lubis, Zulfikri Mukhtar, Andika Sitepu, Faisal Habib, Cut Aryfa Andra, T. Bob Haykal, The Relationship between Transient Ischemic Dilation (TID) and Severity of Coronary Artery Disease (CAD) in Patients with Chronic Coronary Syndrome (CCS) in Haji Adam Malik Medan, Indonesia , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
- Ade Irma, Elvita Rahmi Daulay, Anggia Chairuddin Lubis, Measurement of Thoracic Aortic Diameter Using Contrast-Enhanced CT Chest Based on Age, Gender, and Hypertension , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
- Muhammad Ramadhan Hasibuan, Andriamuri Primaputra Lubis, Dadik Wahyu Wijaya, Antisialogogue Effect of Atropine Sulfate at Dosages of 0.25 Mg and 0.5 Mg Under General Anesthesia with Ketamin , Journal of Society Medicine: Vol. 1 No. 3 (2022): December
- M. Isfan Rialdy, Nizam Zikri Akbar, T. Bob Haykal, Andre Pasha Ketaren, Cut Aryfa Andra, Yuke Sarastri, The Relationship between D-Dimer Levels and Coronary Lesion Severity in Patients with Acute Myocardial Infarction with ST-Segment Elevation at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
- Monica Tampubolon, Kiki M. Iqbal, R. A. Dwi Pujiastuti, Osmolarity Changes after Mannitol Administration in Cerebral Edema Patients , Journal of Society Medicine: Vol. 2 No. 7 (2023): July
You may also start an advanced similarity search for this article.