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Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy
False passage and loss of airway during tracheostomy are not uncommon, especially in patients with short and thick necks. Distorted neck anatomy following either repeated insertion attempts or due to underlying malignancy may make it very difficult to locate the trachea even while attempting open/su...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021830/ https://www.ncbi.nlm.nih.gov/pubmed/21253348 http://dx.doi.org/10.4103/0972-5229.74173 |
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author | Goneppanavar, Umesh Rao, Shwethapriya Shetty, Nanda Manjunath, Prabhu Anjilivelil, Daniel Thomas Iyer, Sadasivan S. |
author_facet | Goneppanavar, Umesh Rao, Shwethapriya Shetty, Nanda Manjunath, Prabhu Anjilivelil, Daniel Thomas Iyer, Sadasivan S. |
author_sort | Goneppanavar, Umesh |
collection | PubMed |
description | False passage and loss of airway during tracheostomy are not uncommon, especially in patients with short and thick necks. Distorted neck anatomy following either repeated insertion attempts or due to underlying malignancy may make it very difficult to locate the trachea even while attempting open/surgical tracheostomy, despite good exposure of the neck in such situations. The lightwand is not an ideal device for tracheal intubation in such patients. However, it can be useful in these patients while performing open tracheostomy. Passing the lightwand through the orotracheal tube can aid in rapid identification of the trachea in such situations and may help reduce the occurrence of complications subsequent to repeated false passage. We report a series of four such cases where use of lightwand aided in rapidly locating the trachea during tracheostomy complicated by distorted anatomy. |
format | Text |
id | pubmed-3021830 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-30218302011-01-20 Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy Goneppanavar, Umesh Rao, Shwethapriya Shetty, Nanda Manjunath, Prabhu Anjilivelil, Daniel Thomas Iyer, Sadasivan S. Indian J Crit Care Med Case Report False passage and loss of airway during tracheostomy are not uncommon, especially in patients with short and thick necks. Distorted neck anatomy following either repeated insertion attempts or due to underlying malignancy may make it very difficult to locate the trachea even while attempting open/surgical tracheostomy, despite good exposure of the neck in such situations. The lightwand is not an ideal device for tracheal intubation in such patients. However, it can be useful in these patients while performing open tracheostomy. Passing the lightwand through the orotracheal tube can aid in rapid identification of the trachea in such situations and may help reduce the occurrence of complications subsequent to repeated false passage. We report a series of four such cases where use of lightwand aided in rapidly locating the trachea during tracheostomy complicated by distorted anatomy. Medknow Publications 2010 /pmc/articles/PMC3021830/ /pubmed/21253348 http://dx.doi.org/10.4103/0972-5229.74173 Text en © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Goneppanavar, Umesh Rao, Shwethapriya Shetty, Nanda Manjunath, Prabhu Anjilivelil, Daniel Thomas Iyer, Sadasivan S. Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title | Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title_full | Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title_fullStr | Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title_full_unstemmed | Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title_short | Light at a tunnel’s end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
title_sort | light at a tunnel’s end: the lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021830/ https://www.ncbi.nlm.nih.gov/pubmed/21253348 http://dx.doi.org/10.4103/0972-5229.74173 |
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