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  • Title: Successful cardiopulmonary resuscitation in a morbidly obese patient with airway obstruction 10 days after tracheostomy.
    Author: Huang ST, Kuo CP, Chen JC, Wu CT, Hsieh CM, Wong CS, Yeh CC.
    Journal: Acta Anaesthesiol Taiwan; 2008 Mar; 46(1):30-3. PubMed ID: 18390398.
    Abstract:
    Tracheostomy is often performed in patients requiring prolonged ventilatory support. Tracheostomy tube obstruction caused either by blood clots, mucous plugs, tube malposition and tissue granulation can lead to life-threatening complications. The risk of such complications is markedly increased in morbidly obese individuals. Here we report an incident in an 81-year-old, morbidly obese, male patient who sustained airway obstruction which resulted in cardiac arrest 10 days after tracheostomy. A 17-cm 10-ng blood clot in a tracheobronchial configuration was found to cause the obstruction. It was removed and the patient recovered after resuscitation. The etiology of the obstruction, specific management, and recommendations are discussed.
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