Peri-tracheostomy Cuff Herniation: Unlisted Cause of Air Leak during Mechanical Ventilation

Girijapati Machanalli; Anand Mamdapur; R Madhusudan; AS Manoj Kumar; Lavanya Prabhakaran

doi:10.5005/jp-journals-11006-0110

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Peri-tracheostomy Cuff Herniation: Unlisted Cause of Air Leak during Mechanical Ventilation

Girijapati Machanalli, Anand Mamdapur, R Madhusudan, AS Manoj Kumar, Lavanya Prabhakaran

Keywords : Case report, Cuff herniation, Hypoxemia, Obese, Peri-tracheostomy, Thick anterior neck, Tracheostomy, Tracheostomy tube

Citation Information : Machanalli G, Mamdapur A, Madhusudan R, Kumar AM, Prabhakaran L. Peri-tracheostomy Cuff Herniation: Unlisted Cause of Air Leak during Mechanical Ventilation. 2024; 3 (4):102-104.

DOI: 10.5005/jp-journals-11006-0110

License: CC BY-NC 4.0

Published Online: 21-06-2024

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Abstract

Tracheal air leak during mechanical ventilation in critical care units, especially when coupled with pulmonary parenchymal pathology, causes life-threatening hypoxemia and hypercapnia. Assuming the air leak is related exclusively to the cuff itself is a common clinical practice. The broad differential diagnosis for the air leak demands an understanding of the variable etiologies so that corrective measures can be undertaken. Here, we present a case of air leak following a tracheostomy tube (TT) cuff herniating anteriorly into the peri-tracheostomy site.

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