Cervical osteomyelitis after percutaneous transtracheal ventilation and tracheotomy

✍ Scribed by Shawn D. Newlands; Kathleen H. Makielski

• Book ID: 102651709
• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 534 KB
• Volume: 18
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/(sici)1097-0347(199605/06)18:3<295::aid-hed13>3.0.co;2-a

✦ Synopsis

Background. Percutaneous transtracheal ventilation has proven useful in emergent airway management.

Methods. A report of a case is presented.

Resulfs. A 42-year-old woman who developed laryngospasm required emergency airway intervention. She developed massive subcutaneous emphysema and required emergent cricothyroidotomy which was immediately converted to a tracheotomy. Al- though she was quickly decanulated, she developed late cervical osteomyelitis which resolved with intravenous antibiotic therapy.

Conclusions. Cervical osteomyelitis has not been previously reported as a complication of percutaneous transtracheal ventilation or tracheotomy. Contamination of the deep neck spaces facilitated by pressure dissection of the fascia1 planes may have led to this complication.