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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...

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Autores principales: Goneppanavar, Umesh, Rao, Shwethapriya, Shetty, Nanda, Manjunath, Prabhu, Anjilivelil, Daniel Thomas, Iyer, Sadasivan S.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
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.
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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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