• Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017

    [Effect of endotracheal tube with subglottic suction line to stop tracheostomy bleeding in critical patients].

    • Qiaoke Li.
    • Department of Critical Care Medicine, Sichuan Provincial Crops Hospital of Chinese People's Armed Police Force, Leshan 614000, Sichuan, China. Corresponding author: Li Qiaoke, Email: liqiaoke@163.com.
    • Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 May 1; 29 (5): 477-478.

    ObjectiveTo observe the effect of endotracheal tube with subglottic suction line on tracheostomy bleeding in critical patients.MethodsThis procedure was utilized for 35 critical patients with tracheostomy bleeding. With the help of bronchoscope, the endotracheal tube with subglottic suction line was inserted during tracheostomy to 0.5-1.0 cm above the carina. Then aerocyst of the tube was inflated, vacuum was set up for continuous suction via suction port, and hemocoagulase was injected to the opening of tracheostomy. The airway hemorrhage and treatment results were recorded.ResultsTracheostomy bleeding in 33 patients (94.29%) were stopped. The bleeding time ranged from 6 to 48 hours with an average of (24.5±4.1) hours. The tube was in place for 2-10 days with a medium of 4 days.ConclusionsUsing endotracheal tube with subglottic suction line for critical patients with tracheostomy bleeding is very effective. This procedure is also very simple and fast, and is best suitable for patient with heavy bleeding in tracheostomy.

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