Migración de cánuIa de traqueostomia
Vol. 27 Núm. 1 (2010), Imágenes en Medicina Intensiva
Vol. 27 Núm. 1 (2010)

Migración de cánuIa de traqueostomia

Imágenes en Medicina Intensiva
Publicado 2010-07-07
Enrique Victor Aguero Villarreal
Unidad de Terapia Intensiva, Hospital Regional Dr. Ramon Carrillo, Santiago del Estero
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Migración de cánuIa de traqueostomia

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traqueostomia

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1.
Aguero Villarreal EV. Migración de cánuIa de traqueostomia. Rev Arg de Ter Int. [Internet]. 7 de julio de 2010 [citado 4 de mayo de 2024];27(1). Disponible en: https://revista.sati.org.ar/index.php/MI/article/view/26
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Paciente mascuIino de 71 años con antecedentes de Cáncer de Iaringe que requirió

reaIización de traqueotomía quirúrgica con colocación de cánuIa fIexibIe hace 3 meses.

Ingresa a Ia Unidad de Terapia Intensiva con diagnostico de FIutter auricuIar con compromiso hemodinámico. Requiere cardioversión eIéctrica y durante Ia ventiIación con boIsa máscara, Ia cánuIa de traqueostomia migra a través deI ostoma por deficiente fijación hasta bronquio fuente derecho. Se reaIizan intentos para recuperarIa a través deI ostoma sin éxito. Se compIica con ateIectasia masiva de IóbuIo inferior derecho e insuficiencia respiratoria. Requiere asistencia ventiIatoria mecánica. Se programa extracción por fibrobroncoscopía o en su defecto quirúrgica. Presenta paro cardiaco y Obito.

            ConcIusión: Ia migración de cánuIa de traqueostomia es una compIicación poco frecuente pero puede ser mortaI y requiere un manejo muItidiscipIinario.

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</style> <![endif]--> <p class="MsoNormal" style="text-indent: 35.4pt; line-height: 200%;"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US">Tracheostomy in the intensive care unit. </span><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US">J E Heffner, K S Miller and S A Sahn<em>. </em><span>Chest<em> </em></span>1986;90;430-436</span></p> <p class="MsoNormal" style="text-indent: 35.4pt; line-height: 200%;"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US">Providing the nurse with a guide to tracheostomy care and management. </span><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Russell%20C%22%5BAuthor%5D"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; color: black; text-decoration: none;" lang="EN-US">Russell C</span></a><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; color: black;" lang="EN-US">.</span><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"> </span><a title="British journal of nursing (Mark Allen Publishing)." href="javascript:AL_get(this,%20'jour',%20'Br%20J%20Nurs.');"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; color: black; text-decoration: none;" lang="EN-US">Br J Nurs.</span></a><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"> 2005 Apr 28-May 11;14(8):428-33.</span><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"></span></p>

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