A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management
Authors
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
- Radian Ahmad Halimi, Ardi Zulfariansyah, Post-Operative Management for Craniotomy Decompression in Cerebral Edema Patients Due to Cerebral Infarction in The Right Carotic System which Occurred Cerebral Vasospasm , Journal of Society Medicine: Vol. 3 No. 4 (2024): April
- Paulus Sulistiono, Dhany Budipratama, Management of a P3A0 Postpartum Patient with Peripartum Cardiomyopathy (PPCM), Acute Decompensated Heart Failure (ADHF), Respiratory Failure Due to Acute Pulmonary Edema, and Community-Acquired Pneumonia (CAP) in the ICU , Journal of Society Medicine: Vol. 4 No. 7 (2025): July
- Suwarman, Tresna Kusumah Natapraja, Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report , Journal of Society Medicine: Vol. 3 No. 11 (2024): November
- Ardiayuman Ardiayuman , Dhany Budipratama, Management of Sepsis Patients Due to Community-Acquired Pneumonia in the Intensive Care Unit , Journal of Society Medicine: Vol. 4 No. 7 (2025): July
- Dia Tri Susanti, Gema Nazri Yanni, Johannes H. Saing, Erna Mutiara, Aridamuriany D. Lubis, Olga R. Siregar, Correlation of Fibrinogen Level with PELOD-2 Score As A Predictive Factor For Mortality in Pediatric Sepsis , Journal of Society Medicine: Vol. 2 No. 11 (2023): November
- Dean Reza Purnama , Julyta Aliah, Indra Indra , Hemoperitoneum in Pregnancy: A Case Series and Clinical Management Insights , Journal of Society Medicine: Vol. 4 No. 8 (2025): August
You may also start an advanced similarity search for this article.