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Airway bleed after percutaneous tracheostomy is not always procedure-related

Author(s): Patil Vijaya | Singhal Amit | Pramesh C

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 13;
Issue: 2;
Start page: 96;
Date: 2009;
Original page

Keywords: Bleeding | complications | percutaneous tracheostomy

Tracheotomies are the most frequent surgical procedures performed in the intensive care unit. We present a case of major hemorrhage that occurred in the intensive care unit during an elective percutaneous dilational tracheostomy in a 46-year-old female diagnosed with multiple myeloma. The patient was later taken to the operation theatre and procedure-related cause of bleeding was ruled out. It was subsequently realized that the cause of bleeding was intrapulmonary and occurred coincidently with the tracheostomy.

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