Fine Governance of Difficult Tracheostomy in Difficult Airway with Stridor and Respiratory Distress.

Autor: Soni S; Department of ENT & Head and Neck Surgery, Gandhi Medical College, Bhopal, India., Chacko A; Department of ENT & Head and Neck Surgery, Amala Institute of Medical Sciences, Thrissur, India., Poorey VK; Gandhi Medical College and Associated Hospital, Bhopal, MP 462001 India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2022 Dec; Vol. 74 (Suppl 3), pp. 4845-4848. Date of Electronic Publication: 2020 Jul 21.
DOI: 10.1007/s12070-020-01971-1
Abstrakt: Difficult airway is a commonly encountered problem in the anesthesia practice, might needing otolaryngologist expert in creation of surgical airway. Supraglottic airways, surgical or needle cricothyrotomy, high frequency jet ventilation, cardiopulmonary bypass (Tunstall in Can J Anaesth 36:611-613, 1989) are initial rescue measures in such scenario. But in otolaryngology practice, patient presenting with stridor having difficult airway and difficult tracheostomy concurrently will definitely pose problems resulting in life-threatening consequences. We report cases in which difficult airway and difficult tracheostomy coexisted. (1) upper tracheal stenosis following strangulation and intubation (2) short neck with obesity (3) blunt trauma to neck with surgical emphysema (4) deep neck space infection (5) Paediatric tracheostomy in faucial diphtheria. Though difficult surgical tracheostomy in difficult airway is challenging, the anticipation of complications and planning can minimise the difficulty in the technique.
Competing Interests: Conflict of interestSmita Soni and Aneena Chacko declares that there is no conflict of interest.
(© Association of Otolaryngologists of India 2020.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje