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Case report
Silicone Y-stent insertion under extracorporeal membrane oxygenation (ECMO) in a patient with tracheal tear
  1. Nurul Yaqeen Mohd Esa1,
  2. Mohamed Faisal2,
  3. Saravanan Vengadesa Pilla3 and
  4. Jamalul Azizi Abdul Rahaman3
  1. 1Respiratory, Sunway Medical Centre Velocity, Kuala Lumpur, Malaysia
  2. 2Respiratory, National University of Malaysia Faculty of Medicine, Kuala Lumpur, Malaysia
  3. 3Pulmonology, Hospital Serdang, Kajang, Selangor, Malaysia
  1. Correspondence to Dr Mohamed Faisal; arabinose{at}hotmail.com

Abstract

Tracheal tear after endotracheal intubation is extremely rare. The role of silicone Y-stent in the management of tracheal injury has been documented in the previous studies. However, none of the studies have mentioned the deployment of silicone Y-stent via rigid bronchoscope with the patient solely supported by extracorporeal membrane oxygenation (ECMO) without general anaesthesia delivered via the side port of the rigid bronchoscope. We report a patient who had a tracheal tear due to endotracheal tube migration following a routine video-assisted thoracoscopic surgery sympathectomy, which was successfully managed with silicone Y-stent insertion. Procedure was done while she was undergoing ECMO; hence, no ventilator connection to the side port of the rigid scope was required. This was our first experience in performing Y-stent insertion fully under ECMO, and the patient had a successful recovery.

  • pneumomediastinum
  • mechanical ventilation
  • adult intensive care

https://doi.org/10.1136/bcr-2020-236414

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    Footnotes

    • Twitter @DrJamalul

    • Contributors SVP and NYME were involved in the conception of the case report, review of literature and writing the manuscript. MF and JAAR revised this critically and contributed to important intellectual content. All authors participated in the final revision of the manuscript and approved the final manuscript and are also accountable for the accuracy of the content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.