{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:35:44Z","timestamp":1792290944111,"version":"4.4.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Tracheal perforation, although rare, is a known late complication of tracheostomy tube placement.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a 7-year-old boy with severe physical and mental disabilities under tracheostomy and long-term mechanical ventilation and steroid therapy who suddenly developed obstructive shock secondary to pneumomediastinum and pneumothorax. Prior bronchoscopy had shown the tip of the tracheostomy tube contacting the posterior tracheal wall, causing ulceration and subsequent tracheal perforation. The perforation was bridged using a cuffed tracheostomy tube, but the patient subsequently died of additional comorbidities.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our experience suggests that tracheal perforation should be considered when pediatric patients with tracheostomy tubes suddenly develop hypotension.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-022-00522-7","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T13:04:58Z","timestamp":1650546298000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Obstructive shock due to tracheal perforation following long-term placement of a tracheostomy tube in a pediatric patient: a case report"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1985-9790","authenticated-orcid":false,"given":"Wataru","family":"Sakai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Nawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oba","family":"Junichi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,4,21]]},"reference":[{"key":"522_CR1","doi-asserted-by":"publisher","first-page":"799","DOI":"10.4187\/respcare.05366","volume":"62","author":"KF Watters","year":"2017","unstructured":"Watters KF. Tracheostomy in infants and children. Respir Care. 2017;62:799\u2013825.","journal-title":"Respir Care"},{"key":"522_CR2","doi-asserted-by":"publisher","first-page":"140","DOI":"10.4103\/0970-9185.92478","volume":"28","author":"MK Sanwal","year":"2012","unstructured":"Sanwal MK, Ganjoo P, Tandon MS. Posttracheostomy tracheoesophageal fistula. J Anaesthesiol Clin Pharmacol. 2012;28:140\u20131.","journal-title":"J Anaesthesiol Clin Pharmacol"},{"issue":"Suppl 1","key":"522_CR3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/j.1460-9592.2009.03003.x","volume":"19","author":"J Holzki","year":"2009","unstructured":"Holzki J, Laschat M, Puder C. Iatrogenic damage to the pediatric airway. Mechanisms and scar development. Paediatr Anaesth. 2009;19(Suppl 1):131\u201346.","journal-title":"Paediatr Anaesth"},{"key":"522_CR4","doi-asserted-by":"publisher","first-page":"102614","DOI":"10.1016\/j.amsu.2021.102614","volume":"68","author":"PA Margaretha","year":"2021","unstructured":"Margaretha PA, Rusmawatiningtyas D, Makrufardi F, Kumara IF, Nurnaningsih. Obstructive shock in pediatric patient with congenital cystic adenomatoid malformation: a case report. Ann Med Surg (Lond). 2021;68:102614.","journal-title":"Ann Med Surg (Lond)"},{"key":"522_CR5","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1097\/00003246-199607000-00032","volume":"24","author":"KM Turlapati","year":"1996","unstructured":"Turlapati KM, Spear RM, Peterson BM. Mediastinal tube placement in children with pneumomediastinum: hemodynamic changes and description of technique. Crit Care Med. 1996;24:1257\u201360.","journal-title":"Crit Care Med"},{"key":"522_CR6","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1177\/000992280104000204","volume":"40","author":"DT Damore","year":"2001","unstructured":"Damore DT, Dayan PS. Medical causes of pneumomediastinum in children. Clin Pediatr (Phila). 2001;40:87\u201391.","journal-title":"Clin Pediatr (Phila)"},{"key":"522_CR7","first-page":"30247","volume":"S1808-8694","author":"JF Lubianca Neto","year":"2020","unstructured":"Lubianca Neto JF, Castagno OC, Schuster AK. Complications of tracheostomy in children: a systematic review. Braz J Otorhinolaryngol. 2020;S1808-8694:30247\u20130.","journal-title":"Braz J Otorhinolaryngol"},{"key":"522_CR8","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1002\/lary.20107","volume":"119","author":"EM Schedlbauer","year":"2009","unstructured":"Schedlbauer EM, Todt I, Ernst A, Seidl RO. Iatrogenic tracheal rupture in children: a retrospective study. Laryngoscope. 2009;119:571\u20135.","journal-title":"Laryngoscope"},{"issue":"2","key":"522_CR9","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1378\/chest.130.2.412","volume":"130","author":"M Conti","year":"2006","unstructured":"Conti M, Pougeoise M, Wurtz A, et al. Management of postintubation tracheobronchial ruptures. Chest. 2006;130(2):412\u20138.","journal-title":"Chest"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00522-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-022-00522-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00522-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T01:05:34Z","timestamp":1650589534000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-022-00522-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,21]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["522"],"URL":"https:\/\/doi.org\/10.1186\/s40981-022-00522-7","relation":{},"ISSN":["2363-9024"],"issn-type":[{"value":"2363-9024","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,21]]},"assertion":[{"value":"8 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 April 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This report was approved by the Ethics Committee of the Hokkaido Medical Center for Child Health and Rehabilitation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent was obtained from the patient\u2019s parents for publishing this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"31"}}