Abstract
The patient had been given the tracheotomy before he was brought to the author's clinic, under the diagnosis of pseudo-croup and asthmatic bronchitis. Decanulation became difficult because the treatment was concentrated on the high fever and the difficult breathing.
The cause can be summarized as follows:
1. Proper attention to decanulation was lacking, overshadowed by the treatment of high fever and the difficulty in breathing.
2. The disproportion of the age and the tube size was not noticed till the end of the treatment.
3. The removal of the granulation tissues at the upper part of tracheotomic wound was incomplete.
