STEPHEN G. PAUKER, M.D.
To the editor: The recent article by Hahn and Beaty (1) was a welcome substantiation of the validity of a technique that I have utilized with great success. It might be well to point out one potential danger of transtracheal aspiration and the usefulness of a closely related technique.
If the intracatheter is introduced too deeply it may impinge on the posterior wall of the trachea, which may be lacerated if the patient moves or coughs. I am aware of one case where this resulted in an unrecognized hematoma in this position and lead to death by asphyxiation. This underscores
PAUKER SG. Transtracheal Aspiration. Ann Intern Med. ;73:142–143. doi: 10.7326/0003-4819-73-1-142_2
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Published: Ann Intern Med. 1970;73(1):142-143.
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