A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management

Batian Lubis; Dis Bima P  Purwaamidjaja; Mayang Indah Lestari; Faisal; Muhammad Husni Thamrin; Febri Akhmad Belinda

doi:10.47353/jsocmed.v2i12.108

A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management

Batian Lubis
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara
Dis Bima P Purwaamidjaja
Department of Anaesthesiology and Intensive Care, Gatot Subroto Army Hospital
Mayang Indah Lestari
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Universitas Sriwijaya
Faisal
Department of Anaesthesia and Intensive Therapy, Faculty of Medicine, Hasanudin University
Muhammad Husni Thamrin
Department of Anaesthesia and Intensive Therapy, Faculty of Medicine, Sebelas Maret University, Surakrata
Febri Akhmad Belinda
Department of Anaesthesiology and Intensive Care, Muntilan Hospital

Abstract

Introduction: Percutaneous Dilatational Tracheotomy (PDT) is a procedure established for the management of airway and ventilation in the medium to long term for critically ill patients in the ICU. Bleeding is one of the most frequent early complications of tracheostomy. The comorbid conditions of critically ill patients increase the risk of bleeding complications. The aim of this case was to identify factors that increase the risk of bleeding complications in critically ill patients undergoing Percutaneous Dilatational Tracheostomy (PDT) and its management

Case: Two cases of patients experiencing bleeding complications after PDT were reported. The bleeding in these patients were suspected to be caused by coagulation disorders due to sepsis and chronic kidney disease. The bleeding occurred on day-1 and 2 post-PDT procedure. Bleeding complications that were not resolved with general management were managed by subcutaneous suturing in the anatomical region of branching arteries and veins that supply the trachea.

Conclusion: Bleeding after PDT are a part of early complications of tracheostomy procedures. This complication is more often found in critically ill patients. Management can be carried out by suturing the anatomical region of branching arteries and veins supplying the trachea.

Similar Articles

Rizki amaliah Damanik, Andika Pradana, Pandiaman Pandia, Blood Eosinophil Count as a Predictor of Asthma Exacerbation , Journal of Society Medicine: Vol. 4 No. 2 (2025): February
Gio Justisia Batubara , Refli Hasan , Ali Nafiah Nasution , Harris Hasan, Anggia Chairuddin Lubis, Cut Aryfa Andra, Risk Factor–Weighted Clinical Probability for Predicting Obstructive Coronary Artery Disease in Patients Presenting with Unstable Angina , Journal of Society Medicine: Vol. 5 No. 3 (2026): March
Monica Tampubolon, Kiki M. Iqbal, R. A. Dwi Pujiastuti, Osmolarity Changes after Mannitol Administration in Cerebral Edema Patients , Journal of Society Medicine: Vol. 2 No. 7 (2023): July
Angela Yurika Purba, Syamsul Bihar, Bintang Y.M. Sinaga, Correlation Between Neutrophil to Lymphocyte Ratio (NLR) and Procalcitonin Levels in Sepsis Pneumonia Patients , Journal of Society Medicine: Vol. 3 No. 11 (2024): November
M. Isfan Rialdy, Nizam Zikri Akbar, T. Bob Haykal, Andre Pasha Ketaren, Cut Aryfa Andra, Yuke Sarastri, The Relationship between D-Dimer Levels and Coronary Lesion Severity in Patients with Acute Myocardial Infarction with ST-Segment Elevation at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
Rifki Mirza Alfuadi , Anggia Chairuddin Lubis , Yuke Sarastri-Hilfan Ade Putra , The Left Atrioventricular Coupling Index as a Predictor of Major Cardiovascular Events in Chronic Heart Failure Patients at Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 4 No. 6 (2025): June
Enggar Sari Kesumawardani, Zainal Safri, Harris Hasan, Refli Hasan, Cut Aryfa Andra, Tengku Winda Ardini, The Relationship Between Serum Apolipoprotein B Levels and Severity of Coronary Lesions Using The Syntax Score in Non-St Segment Elevation Acute Myocardial Infarction Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
Dina Khairunnisah, Harris Hasan, Abdul Halim Reynaldo, Teuku Bob Haykal, Yuke Sarastri, The Relationship Between Aerobic Physical Exercise to Functional Capacity in Heart Failure Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
Fatima Bello, Chinedu Okafor, Gut Microbiota–Driven Modulation of Host Immune Responses in Severe Infections: Mechanistic Insights and Translational Implications , Journal of Society Medicine: Vol. 5 No. 3 (2026): March
Afrizal F. Hutasuhut, Budiana Rismawan , Management of Septic Shock Secondary to Submandibular Phlegmon and Ventilator-Associated Pneumonia in the Intensive Care Unit , Journal of Society Medicine: Vol. 4 No. 9 (2025): September

<< < 5 6 7 8 9 10 11 12 13 14 > >>

You may also start an advanced similarity search for this article.

PDF

Published at

31. December 2023
https://doi.org/10.47353/jsocmed.v2i12.108
Issue:

Vol. 2 No. 12 (2023): December
Section:

Articles
Keywords:

Percutaneous dilated tracheostomy (PDT) Bleeding Critically ill patients
References:

Esperanza JA, Pelossi P, Blanch L. What’s new in intensive care: tracheostomy-what is known and what remains to be determined. Intensive Care Med. 2019; 45: 1619-21.

Vivar FF, Esteban A, Empaire GD. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med. 2005; 33 (2): 290-8.

Leyn PD, Bedert L, Delcroix M. Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg. 2007; 32 (3): 412-21.

Kost MK. Endoscopic percutaneous dilatational tracheotomy: a prospective evaluation of 500 consecutive cases. Laryngoscope. 2005; 115: 1-30.

Trouillet JL, Collange O, Belafia F. Tracheotomy in the intensive care unit: guidelines from a French expert panel. Ann Intensive Care. 2018; 8 (1): 15-37.

Deppe AC, Kuhn E, Scherener M. Coagulation disorders do not increase the risk for bleeding during percutaneous dilatatinal tracheotomy. Thorac Cardiovasc Surg. 2013; 63 (1): 234-39.

Lusebrink E, Krogman A, Tietz F, et all. Percutaneous dilatational tracheotomy in high-risk ICU patients. Annals of Intensive Care. 2021; 11 (1): 116.

Knipping S, Schmidt A, Friedrich S. Dilatational tracheotomy in head and neck surgery. Laryngorhinootologie. 2016; 95 (1): 29-36.

Klotz R, Probst P, Deininger M. Percutaneous versus surgical strategy for tracheostomy: a systematic review and meta-analysis of perioperative and postoperative complications. Langenbecks Arch Surg. 2018; 403 (2): 137-149.

Lusebrink E, Stark K, Bertlich M. Safety of percutaneous dilatational tracheotomy in patients on dual antiplatelet therapy and anticoagulation. Crit Care Exp. 2019; 1 (10): 10.

Pilarczyk K, Haake N, Dudasova M. Risk factors for bleeding complications after percutaneous dilatational tracheostomy: a ten-year institutional analysis. Anaesth Intensive Care. 2016; 44 (2): 227-36.

Nam SJ, Park JY, Lee H. Percutaneous Dilatational Tracheostomy in Critically Ill Patients Taking Antiplatelet Agents. The Korean Journal of Critical Care Medicine. 2014; 29 (3): 183-8.

Sasane SP, Telang MM, Alrais ZF. Percutaneous Tracheostomy in Patients at High Risk of Bleeding Complications: A Retrospective Single-center Experience. Indian J Crit Care Med. 2020; 20 (4): 90-4.

Sibbing D, Aradi D, Alexopoulos D. Updated expert consensus statement on platelet function and genetic testing for guiding P2Y12 receptor inhibitor treatment in percutaneous coronary intervention. JACC Cardiovasc Interv. 2019; 12 (16): 1521-37.

Kujovich, JL. Coagulopathy in liver disease: a balancing act. Hematology Am Soc Hematol Educ Program. 2015; 2015: 243-9.

Genga KR, Russel JA. Coagulation Abnormalities in Sepsis. Critical Care Nephrology. 2019: 508: 517e3.
Share:

Z

Lubis, B., Purwaamidjaja, D. B. P. ., Lestari, M. I., Faisal, Thamrin, M. H., & Belinda, F. A. (2023). A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management. Journal of Society Medicine, 2(12), 425–431. https://doi.org/10.47353/jsocmed.v2i12.108