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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
CLINICAL CASES CRITICAL AND INTENSIVE THERAPY
Minerva Anestesiologica 2001 June;67(6):483-5
Inferior thyroid artery bleeding: a life-threatening complication of non-surgical tracheostomy
Della Puppa A., Pittoni G.
From the U.O. Anestesia e Rianimazione Ospedale S. Antonio - Padova
In the present report we describe the first documented case of massive hemorrhage from the inferior thyroid artery, after trans-laryngeal tracheostomy. The patient was a 52-yr-old male victim of a work-related accident in which he reported chest trauma and mutiple limb fractures. Trans-laryngeal tracheostomy was done on day 3 after ICU admission. On ICU day 13, the patient experienced severe hemorrhage from the upper airway and tracheostomy was surgically explored. A bleeding vessel, branch of the inferior thyroid artery at the isthmus, was identified and suture ligated. Massive hemorrhage from the inferior thyroid artery at the isthmus should be considered a possible risk of non-surgical tracheostomy.