Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation
Abstract Percutaneous dilatational tracheostomy is an established technique for securing the airway in critically ill patients. One of the most common complications is bleeding around the incision or after injury to major vessels in anatomic proximity. We report a case in which a thrombocytopenic pa...
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| Format: | Article |
| Language: | English |
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BMC
2025-05-01
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| Series: | 3D Printing in Medicine |
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| Online Access: | https://doi.org/10.1186/s41205-025-00270-1 |
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| author | Khalid Salem Hendrik Drinhaus Dominique Hart Bernd W. Böttiger Andrea U. Steinbicker Bernhard Dorweiler Fabian Dusse |
| author_facet | Khalid Salem Hendrik Drinhaus Dominique Hart Bernd W. Böttiger Andrea U. Steinbicker Bernhard Dorweiler Fabian Dusse |
| author_sort | Khalid Salem |
| collection | DOAJ |
| description | Abstract Percutaneous dilatational tracheostomy is an established technique for securing the airway in critically ill patients. One of the most common complications is bleeding around the incision or after injury to major vessels in anatomic proximity. We report a case in which a thrombocytopenic patient experienced life-threatening bleeding during the procedure at the bifurcation between segmental bronchus 9 and 10, apparently caused by an unrecognized guide wire-induced mucosal lesion. Immediate extensive bronchoscopy and hemostatic interventions were required to ensure oxygenation. To better illustrate this complication, a patient-specific (1:1) three-dimensional model of the patient’s bronchial system was subsequently created using a 3D printer. In conclusion, 3d printing can help to visualize uncommon complications during intensive care interventions. It is recommended to advance the guide wire the guide wire only until the tracheal carina under bronchoscopic control. Word count: 135. |
| format | Article |
| id | doaj-art-142e95cd26fa43379ac412ee64a7ff2a |
| institution | DOAJ |
| issn | 2365-6271 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | 3D Printing in Medicine |
| spelling | doaj-art-142e95cd26fa43379ac412ee64a7ff2a2025-08-20T03:16:52ZengBMC3D Printing in Medicine2365-62712025-05-011111810.1186/s41205-025-00270-1Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulationKhalid Salem0Hendrik Drinhaus1Dominique Hart2Bernd W. Böttiger3Andrea U. Steinbicker4Bernhard Dorweiler5Fabian Dusse6Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Vascular and Endovascular Surgery, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of CologneAbstract Percutaneous dilatational tracheostomy is an established technique for securing the airway in critically ill patients. One of the most common complications is bleeding around the incision or after injury to major vessels in anatomic proximity. We report a case in which a thrombocytopenic patient experienced life-threatening bleeding during the procedure at the bifurcation between segmental bronchus 9 and 10, apparently caused by an unrecognized guide wire-induced mucosal lesion. Immediate extensive bronchoscopy and hemostatic interventions were required to ensure oxygenation. To better illustrate this complication, a patient-specific (1:1) three-dimensional model of the patient’s bronchial system was subsequently created using a 3D printer. In conclusion, 3d printing can help to visualize uncommon complications during intensive care interventions. It is recommended to advance the guide wire the guide wire only until the tracheal carina under bronchoscopic control. Word count: 135.https://doi.org/10.1186/s41205-025-00270-1Guide wireBronchoscopyMucosal lesionThrombocytopenia |
| spellingShingle | Khalid Salem Hendrik Drinhaus Dominique Hart Bernd W. Böttiger Andrea U. Steinbicker Bernhard Dorweiler Fabian Dusse Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation 3D Printing in Medicine Guide wire Bronchoscopy Mucosal lesion Thrombocytopenia |
| title | Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation |
| title_full | Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation |
| title_fullStr | Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation |
| title_full_unstemmed | Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation |
| title_short | Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation |
| title_sort | unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy a case report and 3d simulation |
| topic | Guide wire Bronchoscopy Mucosal lesion Thrombocytopenia |
| url | https://doi.org/10.1186/s41205-025-00270-1 |
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