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. © 2008 Taiwan Society of Anesthesiologists.
Huang, S. T., Kuo, C. P., Chen, J. C., Wu, C. T., Hsieh, C. M., Wong, C. S., & Yeh, C. C. (2008). Successful cardiopulmonary resuscitation in a morbidly obese patient with airway obstruction 10 days after tracheostomy. Acta Anaesthesiologica Taiwanica, 46(1), 30–33. https://doi.org/10.1016/s1875-4597(08)60017-x