Surgery MCQ Answer 13
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The complication of tracheoinnominate artery fistula characteristically occurs in young women and is often heralded by bleeding during the tracheostomy suctioning. Deflation of the tracheal tube cuff confirms the diagnosis if massive bleeding occurs. At that point the tracheal tube cuff should be overinflated and a finger inserted into the tracheostomy incision to tamponade the bleeding. Throughout this, the airway must be protected. Operative repair through an upper sternal split requires resection of the innominate and coverage of the oversewn vessels with viable tissue since the wound is contaminated. No prosthetic material should be inserted and tracheal resection is not necessary.
Category: Surgery MCQs
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