Inadvertent bronchial intubation by tracheostomy tube in advanced duchenne muscular dystrophy

Abstract

There are certain concerns which need special attention in advance duchenne muscular dystrophy (DMD) such as anomalous airway anatomy, choking, risk of aspiration, nocturnal hypoventilation and frequent chest infections. Tracheostomy remains a choice in these patients, particularly those with impairment of bulbar-innervated musculature. ^[1]There may be a possibility of repeated endobronchial migration of tracheostomy tube (TT) due to the inherent airway abnormalities leading to airway trauma and refractory bronchospasm, which can delay the weaning process significantly.