{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T12:04:30Z","timestamp":1722686670464},"reference-count":11,"publisher":"AACN Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"\n Introduction<\/jats:title>\n Tracheostomy is common in patients with critical illness. Mechanical ventilation requires the airway to be closed by an inflated tracheostomy tube cuff. Tracheostomy tube cuff rupture is a serious complication of airway management. This case study summarizes the nursing care of a patient who received prolonged mechanical ventilation and had recurrent tracheostomy tube cuff ruptures caused by a tracheal polyp.<\/jats:p>\n <\/jats:sec>\n \n Clinical Findings and Diagnosis<\/jats:title>\n An 81-year-old woman was admitted because of acute exacerbation of chronic obstructive pulmonary disease. The patient had undergone percutaneous tracheostomy 3 years earlier because of difficulty in weaning from the ventilator and had recurrent lung infections that led to respiratory failure. A tracheal polyp was identified as the cause of multiple tracheostomy tube cuff ruptures.<\/jats:p>\n <\/jats:sec>\n \n Outcomes<\/jats:title>\n After the tracheal polyp was removed with bronchofiberscope guidance, the patient remained hospitalized because of difficulty in ventilator weaning but had no further tracheostomy tube cuff ruptures.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Tracheal polyps that cause tracheostomy tube cuff ruptures are rare, but nurses should be alert to their occurrence. If a tube cuff ruptures in a patient receiving long-term mechanical ventilation, bronchoscopy should be performed as soon as possible to allow for early identification of the cause and ensure patient safety.<\/jats:p>\n <\/jats:sec>","DOI":"10.4037\/ccn2023649","type":"journal-article","created":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:07:19Z","timestamp":1685578039000},"page":"52-58","source":"Crossref","is-referenced-by-count":1,"title":["Nursing Care of Patient With Tracheostomy Tube Cuff Rupture Caused by Tracheal Polyp: A Case Report"],"prefix":"10.4037","volume":"43","author":[{"given":"Ye","family":"Feifei","sequence":"first","affiliation":[{"name":"Ye Feifei is a nurse, Department of Critical Care Medicine, Zhejiang Hospital, Hangzhou, Zhejiang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Junhai","sequence":"additional","affiliation":[{"name":"Zhen Junhai is a physician, Department of Critical Care Medicine, Zhejiang Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guan","family":"Xiaoxiao","sequence":"additional","affiliation":[{"name":"Guan Xiaoxiao is a nurse, Department of Critical Care Medicine, Zhejiang Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"issue":"6","key":"2023060100071187700_b1-0430052","doi-asserted-by":"publisher","first-page":"895","DOI":"10.4187\/respcare.02971","article-title":"Tracheostomy: epidemiology, indications, timing, technique, and outcomes","volume":"59","author":"Cheung","year":"2014","journal-title":"Respir Care"},{"issue":"6","key":"2023060100071187700_b2-0430052","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1513\/AnnalsATS.201501-010BC","article-title":"Use of the Blom tracheotomy tube with suction inner cannula to decontaminate microorganisms from the subglottic space. 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