About: Successful respiratory management of a Marshall-Smith syndrome patient with a tracheo-innominate artery fistula

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About: Successful respiratory management of a Marshall-Smith syndrome patient with a tracheo-innominate artery fistula Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Successful respiratory management of a Marshall-Smith syndrome patient with a tracheo-innominate artery fistula
Creator	Hirota, Kazuyoshi Kawaguchi, Jun Kushikata, Tetsuya Noguchi, Satoko Saito, Junichi
source	PMC
abstract	BACKGROUND: Tracheo-innominate artery fistula (TIF) is a life-threatening complication of tracheostomy. We describe perioperative management for innominate artery transection in a case with TIF. CASE PRESENTATION: A 4-year-old Japanese female with Marshal-Smith syndrome presented for management of TIF. She underwent tracheostomy at the age of 3 months and an uncuffed tracheostomy tube was inserted. One month before admission to our hospital, intermittent tracheal bleeding, suggesting TIF, occurred. Although we considered to change to a cuffed endotracheal tube, craniofacial abnormality suggested difficult oral intubation, and there was a possibility of rebleeding. Finally, innominate artery transection was performed under total intravenous anesthesia without changing the tracheostomy tube. Surgery completed uneventfully and she received mechanical ventilation under sedation for a day, followed by weaning without complications. CONCLUSIONS: A cuffed tracheostomy tube should have been inserted before surgery for effective hemostasis against sudden bleeding from TIF even though conversion to oral intubation was difficult.
has issue date	2020-05-22(xsd:dateTime)
bibo:doi	10.1186/s40981-020-00343-6
bibo:pmid	32444904
has license	cc-by
sha1sum (hex)	b126416ce136b8dc338990c69eb37a06778b246d
schema:url	https://doi.org/10.1186/s40981-020-00343-6
resource representing a document's title	Successful respiratory management of a Marshall-Smith syndrome patient with a tracheo-innominate artery fistula
has PubMed Central identifier	PMC7244218
has PubMed identifier	32444904
schema:publication	JA Clin Rep
resource representing a document's body	covid:b126416ce136b8dc338990c69eb37a06778b246d#body_text
is schema:about of	named entity 'Although' named entity 'intubation' named entity 'perioperative' named entity 'possibility' named entity 'Japanese' »more»

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