{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:14:29Z","timestamp":1777727669356,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T00:00:00Z","timestamp":1541721600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T00:00:00Z","timestamp":1541721600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study was performed to investigate the management of general anesthesia in an unusual case involving a patient with a broken tracheostomy tube presenting as an airway foreign body.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We herein describe the anesthetic management of a patient with a broken tracheostomy tube. A 77-year-old Chinese man who had been involved in a car accident underwent a tracheostomy. One year later, he presented with cough and bleeding at the tracheostomy site. Preoperative evaluation revealed that the metal tracheostomy tube was lodged in his left main bronchus. General anesthesia was induced to maintain spontaneous breathing, and adequate topical anesthesia of the airway was administered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The metal tracheostomy tube was successful removed, and a new tracheal tube was put in place.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>General anesthesia to maintain spontaneous breathing and adequate topical anesthesia of the airway can be safely used when removing broken tracheostomy tubes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060518809251","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T04:57:32Z","timestamp":1541739452000},"page":"718-721","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Anesthetic management of a patient with an unusual broken tracheostomy tube: a case report"],"prefix":"10.1177","volume":"47","author":[{"given":"Li-Jun","family":"Bo","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Second Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei-Xia","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Third Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Second Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong-Tian","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Second Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","first-page":"pii:","DOI":"10.1136\/bcr-2015-213963","article-title":"Fractured tracheostomy tube presenting as a foreign body in a paediatric patient","volume":"2016","author":"Gupta SL","year":"2016","unstructured":"Gupta SL, Swaminathan S, Ramya R, et\u00a0al. Fractured tracheostomy tube presenting as a foreign body in a paediatric patient. BMJ Case Rep 2016; 2016: pii: bcr2015213963.","journal-title":"BMJ Case Rep"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.06.011"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-234"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5313\/wja.v2.i3.30"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-201406001-00777"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02971"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/22201181.2016.1244315"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.07.033"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2012.01.002"},{"key":"e_1_3_2_11_2","first-page":"254","article-title":"Fracture synthetic tracheostomy tube: an ENT emergency","volume":"63","author":"Shashinder S","year":"2008","unstructured":"Shashinder S, Tang IP, Kuljit S, et\u00a0al. Fracture synthetic tracheostomy tube: an ENT emergency. Med J Malaysia 2008; 63: 254\u2013255.","journal-title":". Med J Malaysia"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060518809251","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060518809251","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060518809251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:50:01Z","timestamp":1777459801000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060518809251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,9]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1177\/0300060518809251"],"URL":"https:\/\/doi.org\/10.1177\/0300060518809251","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,9]]}}}