Intraoperative Innovation Leading to a Modified Endotracheal Tube: A Case Report of Endobronchial Intubation of Total Laryngectomy Stoma

Autor:	Sarven Tersakyan, Gio Gemelga, Joseph Lee, Babak Mahyar, Alan Dean
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	coronary artery bypass graft low-lying stoma median sternotomy modified endotracheal tube total laryngectomy Anesthesiology RD78.3-87.3 Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Annals of Cardiac Anaesthesia, Vol 27, Iss 4, Pp 368-371 (2024)
Druh dokumentu:	article
ISSN:	0971-9784 0974-5181
DOI:	10.4103/aca.aca_11_24
Popis:	The post-total laryngectomy airway poses perioperative challenges to anesthesia management. While endobronchial intubation is a cited complication, a low-lying stoma may increase this risk. Furthermore, the stoma’s proximity to a median sternotomy increases surgical and airway management complexity. This report highlights a case of endobronchial intubation in a patient with a low-lying stoma who presented for coronary artery bypass graft. With a stoma at the upper border of the sternum, intraoperative innovation was required to prevent endobronchial intubation while remaining out of the surgical field. This innovation may be useful in urgent surgical situations.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/deeb82d6e72b4ba3894f097f5e30db6b Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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