Posted on 29 Oct 2014
Critical Care

Tracheostomy in Canadian Pharmacy

Notwithstanding the patient’s deteriorated general condition, the procedure was performed in an outpatient setting, with no complications. Follow-up bronchoscopy 1 week later revealed localized mucosal edema and moderate secretions. Ten months later, the patient’s condition is stable, with only minimal and nonsignificant granulation tissue formation New Zealand Pharmacy. Tracheostomy

A 68-year-old man was referred to our Pulmonary Institute on August 2000 due to worsening dyspnea. At the age of 3 years, the patient had had severe diphtheria, complicated by respiratory insufficiency. The patient was therefore intubated and put on mechanical ventilation for 4 weeks. Subsequently, a subglottic obstruction developed that progressed and eventually required tracheostomy. Four years later, the tracheostomy was closed, but the patient continued to have chronic dyspnea. On hospital admission, the patient was found to be moderately dyspneic, with mild inspiratory stridor.

Soon after, the patient’s condition rapidly deteriorated, necessitating urgent tracheostomy. Bronchoscopy revealed severe subglottic obstruction, and laser treatment was applied. During the next 3 months, the patient had several hospital admissions for laser applications. Eventually, a metal Wallstent (64/14 mm) was inserted, and decannulation was performed. Shortly thereafter, the respiratory complaints recurred. One month after the stent insertion, on November 2000, significant formation of granulation tissue along the inner surface of the stent was identified.

Laser treatment was then applied, and the patient was transferred to the Radiotherapy Unit for HDR brachytherapy. The procedure was performed without any complications, and after a few hours the patient was discharged. It was only then that the patient’s condition stabilized. Almost a year later, the patient is still free of respiratory complaints, with only minimal granulation tissue formation observed in one of the subsequent bronchoscopies.

Comments are closed.