Near Total Airway Obstruction in a "Bleeding Tracheostomy" - A Roller Coaster Ride

Late tracheostomy bleed can cause life-threatening airway obstruction.Timely detection is paramount, as even small quantities of endobronchial blood can lead to a substantial deterioration in gas exchange and hypoxemia.Moreover, the altered colour of the organised clot can sometimes give a deceptive appearance of a tumour mass.In this case report, we would like to highlight how a multidisciplinary team helped in identifying the cause of the airway obstruction thereby enabling prompt intervention.