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Transtracheal aspiration complicated by fatal endotracheal hemorrhage

, : Transtracheal aspiration complicated by fatal endotracheal hemorrhage. New England Journal of Medicine 295(9): 488-490

In the case reported, fatal hemorrhage was associated with transtracheal aspiration in a young man with pneumonia whose complication was related to an anatomic variant. The importance of immediate tracheal intubation with a cuffed tube is emphasized when serious hemoptysis occurs with this procedure as a means of minimizing the aspiration of blood from a source in an upper airway. It is suggested that an attempt to puncture the circothyroid membrane be made toward its caudal extent, just above the cricoid cartilage, to minimize the risk of this potentially fatal complication.


PMID: 940581

DOI: 10.1056/NEJM197608262950907

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