Universität zu Köln

Salem, Khalid ORCID: 0009-0006-1597-5881, Drinhaus, Hendrik ORCID: 0000-0001-8435-2246, Hart, Dominique ORCID: 0009-0002-0360-1082, Böttiger, Bernd W. ORCID: 0000-0001-8000-8931, Steinbicker, Andrea U. ORCID: 0000-0002-5237-961X, Dorweiler, Bernhard ORCID: 0000-0002-8262-8381 and Dusse, Fabian ORCID: 0000-0001-7762-6966 (2025). Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation. 3D Printing in Medicine, 11 (1). Springer Nature. ISSN 2365-6271

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Abstract

Percutaneous dilatational tracheostomy is an established technique for securing the airway in critically ill patients. One of the most common complications is bleeding around the incision or after injury to major vessels in anatomic proximity. We report a case in which a thrombocytopenic patient experienced life-threatening bleeding during the procedure at the bifurcation between segmental bronchus 9 and 10, apparently caused by an unrecognized guide wire-induced mucosal lesion. Immediate extensive bronchoscopy and hemostatic interventions were required to ensure oxygenation. To better illustrate this complication, a patient-specific (1:1) three-dimensional model of the patient’s bronchial system was subsequently created using a 3D printer. In conclusion, 3d printing can help to visualize uncommon complications during intensive care interventions. It is recommended to advance the guide wire the guide wire only until the tracheal carina under bronchoscopic control.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Salem, Khalid UNSPECIFIED https://orcid.org/0009-0006-1597-5881 UNSPECIFIED Drinhaus, Hendrik UNSPECIFIED https://orcid.org/0000-0001-8435-2246 UNSPECIFIED Hart, Dominique UNSPECIFIED https://orcid.org/0009-0002-0360-1082 UNSPECIFIED Böttiger, Bernd W. UNSPECIFIED https://orcid.org/0000-0001-8000-8931 UNSPECIFIED Steinbicker, Andrea U. UNSPECIFIED https://orcid.org/0000-0002-5237-961X UNSPECIFIED Dorweiler, Bernhard UNSPECIFIED https://orcid.org/0000-0002-8262-8381 UNSPECIFIED Dusse, Fabian UNSPECIFIED https://orcid.org/0000-0001-7762-6966 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-800895
Identification Number:	10.1186/s41205-025-00270-1
Journal or Publication Title:	3D Printing in Medicine
Volume:	11
Number:	1
Number of Pages:	8
Date:	30 May 2025
Publisher:	Springer Nature
ISSN:	2365-6271
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Anästhesiologie und Operative Intensivmedizin > Klinik für Anästhesiologie und Operative Intensivmedizin Faculty of Medicine > Chirurgie > Klinik und Poliklinik für Gefäßchirurgie
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Guide wire ; Bronchoscopy ; Mucosal lesion ; Thrombocytopenia English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/80089