Management of Tracheal Deformity During Intubation: A Case Report
Failure or difficulty in intubating the trachea can be either due to inability to visualize the glottis or some pathology at the level of or below the cords. This report describes a case of difficult intubation suspected of being related to neck scarring from previous surgery. Computed tomography (C...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2007-06-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09704140 |
| _version_ | 1818904631675191296 |
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| author | Sheng-Hua Wu Kuang-I Chen I-Chen Lu Shu-Hung Huang Kuong-Shing Chu |
| author_facet | Sheng-Hua Wu Kuang-I Chen I-Chen Lu Shu-Hung Huang Kuong-Shing Chu |
| author_sort | Sheng-Hua Wu |
| collection | DOAJ |
| description | Failure or difficulty in intubating the trachea can be either due to inability to visualize the glottis or some pathology at the level of or below the cords. This report describes a case of difficult intubation suspected of being related to neck scarring from previous surgery. Computed tomography (CT) was used to evaluate the patient's airway and revealed upper tracheal angulation. We describe a method to secure the airway in this patient with a two-person technique by rotating an oral endotracheal tube 180° counterclockwise to adjust to the curvature of the trachea. Problems with intubation should be anticipated in patients with scarring of the neck, and equipment for aiding intubation should be on hand. Furthermore, we found that CT contributed to the assessment of the difficulty of intubation in this kind of patient. |
| first_indexed | 2024-12-19T21:10:31Z |
| format | Article |
| id | doaj.art-286c37efae104fdc9ebecc0414066c24 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-19T21:10:31Z |
| publishDate | 2007-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-286c37efae104fdc9ebecc0414066c242022-12-21T20:05:30ZengWileyKaohsiung Journal of Medical Sciences1607-551X2007-06-0123630931210.1016/S1607-551X(09)70414-0Management of Tracheal Deformity During Intubation: A Case ReportSheng-Hua Wu0Kuang-I Chen1I-Chen Lu2Shu-Hung Huang3Kuong-Shing Chu4Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanFailure or difficulty in intubating the trachea can be either due to inability to visualize the glottis or some pathology at the level of or below the cords. This report describes a case of difficult intubation suspected of being related to neck scarring from previous surgery. Computed tomography (CT) was used to evaluate the patient's airway and revealed upper tracheal angulation. We describe a method to secure the airway in this patient with a two-person technique by rotating an oral endotracheal tube 180° counterclockwise to adjust to the curvature of the trachea. Problems with intubation should be anticipated in patients with scarring of the neck, and equipment for aiding intubation should be on hand. Furthermore, we found that CT contributed to the assessment of the difficulty of intubation in this kind of patient.http://www.sciencedirect.com/science/article/pii/S1607551X09704140difficult intubationflexible fiberoptic bronchoscopy |
| spellingShingle | Sheng-Hua Wu Kuang-I Chen I-Chen Lu Shu-Hung Huang Kuong-Shing Chu Management of Tracheal Deformity During Intubation: A Case Report Kaohsiung Journal of Medical Sciences difficult intubation flexible fiberoptic bronchoscopy |
| title | Management of Tracheal Deformity During Intubation: A Case Report |
| title_full | Management of Tracheal Deformity During Intubation: A Case Report |
| title_fullStr | Management of Tracheal Deformity During Intubation: A Case Report |
| title_full_unstemmed | Management of Tracheal Deformity During Intubation: A Case Report |
| title_short | Management of Tracheal Deformity During Intubation: A Case Report |
| title_sort | management of tracheal deformity during intubation a case report |
| topic | difficult intubation flexible fiberoptic bronchoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09704140 |
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