Austin Health

Title
Silver nitrate therapy for persistent tracheocutaneous fistula following prolonged tracheostomy and invasive ventilation: A case report.
Publication Date
2022-10
Author(s)
Sweeney, Duncan J
Chao, Caroline
Ridgers, Anna
Knee Chong, Christine
Goldblatt, Joshua
Seevanayagam, Siven
Howard, Mark E
Subject
trachea
tracheocutaneous fistula
tracheostomy
ventilation
wound healing
Type of document
Journal Article
OrcId
0000-0002-7811-0424
0000-0001-6225-1495
0000-0003-1360-9387
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0003-4123-3583
0000-0003-1430-7188
0000-0001-7772-1496
DOI
10.1002/rcr2.1049
Abstract
We report the case of a man with severe Guillain-Barré syndrome who developed a persistent tracheocutaneous fistula (TCF) following prolonged tracheostomy and mechanical ventilation. Following tracheostomy decannulation, the TCF had a deleterious effect on non-invasive positive pressure ventilation efficacy and ability to effectively clear airway secretions due to air leaking from the patent stoma. This case highlights a non-surgical approach to TCF management that is not well-described in the literature and presents an alternative management option for cohorts of patients in which the risk associated with surgical interventions may be undesirable.
Link
Citation
Respirology Case Reports 2022
Jornal Title
Respirology Case Reports

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