Unusual bronchoscopic value in percutaneous dilatational tracheostomy:A case report

BACKGROUND The usage of bronchoscopy during percutaneous dilatational tracheostomy remains under debate.The proponents of bronchoscopy advocating safety of the procedure,whereas the critics raising the concerns about the cost,possible delay in the procedure,and waiting for the device.CASE SUMMARY We are highlighting a case of percutaneous dilatational tracheostomy where bronchoscopy aided in diagnosing a rare situation of wire entrapment within the endotracheal tube,treated by withdrawing the wire from the endotracheal tube with good outcome.CONCLUSION The bronchoscopy guided approach permitted early diagnosis and helped to end the procedure without complication or possible major surgery in a case of accidental wire puncture of the endotracheal tube.