First,time when I saw bleed from tracheostomy site of Head and Neck Cancer patient,I thought that it might b bleeding from tracheostomy tube insertion site.Which may b due to dryness of skin beneath the tube.
Sadly,that pt passed away one night due to heavy bleeding from same site.
But,today when I gone through literature, I found that the initial bleed was HERALD or SENTINEL Bleed,which is initial sign of CAROTID RUPTURE.
This Carotid Rupture gen seen in Head n neck cancer pt of advanced stage.
Now,I got lesson- never underestimate any minor bleed from any site ,esp in cancer pts.
Good Night,Tc
Sadly,that pt passed away one night due to heavy bleeding from same site.
But,today when I gone through literature, I found that the initial bleed was HERALD or SENTINEL Bleed,which is initial sign of CAROTID RUPTURE.
This Carotid Rupture gen seen in Head n neck cancer pt of advanced stage.
Now,I got lesson- never underestimate any minor bleed from any site ,esp in cancer pts.
Good Night,Tc
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