Evidence map›Paper›PMID 42893347›Full record

ArticleCureus2026

Massive Early Post-Tracheostomy Hemorrhage From Inferior Thyroid Artery Branch Injury: An Oxygenation-Preserving Airway Rescue Strategy.

Mahdi Abdallah, Ilker Ince, Mohamed Khalil, Alexis Cash, Ryan Staszak

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mahdi AbdallahAnesthesiology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Ilker InceAnesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Mohamed KhalilAnesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Alexis CashAnesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Ryan StaszakSurgical Critical Care/Trauma Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early life-threatening hemorrhage following tracheostomy is uncommon and may arise from injury to branches of the inferior thyroid artery. Early recognition is critical because ongoing hemorrhage may rapidly flood and obscure the airway, compromise oxygenation, and make definitive airway management extremely challenging. We report a 70-year-old male with recent ischemic stroke who underwent tracheostomy and percutaneous endoscopic gastrostomy placement and developed massive bleeding from the tracheostomy stoma approximately 26 hours after the tracheostomy placement. During emergent airway management, temporary digital compression was applied to control hemorrhage while ventilation was maintained through the existing tracheostomy tube as oral endotracheal intubation was attempted using video laryngoscopy. After definitive endotracheal tube placement was confirmed, surgical exploration revealed hemorrhage from inferior thyroid artery branches requiring ligation and tracheostomy revision. This case highlights the importance of rapid recognition of early surgical-site arterial bleeding, preservation of oxygenation during airway rescue, and coordinated surgical hemorrhage control.

Indexed as

difficult airway managementhemorrhage controlinferior thyroid artery injurypost-tracheostomy hemorrhagesurgical airwayvideo-assisted laryngoscopy

Identifiers

PMID42893347
PMCPMC13676466

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.