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Management of tracheal deformity during intubation: a case report.

Authors
Type
Published Article
Journal
The Kaohsiung Journal of Medical Sciences
1607-551X
Publisher
Elsevier
Publication Date
Volume
23
Issue
6
Pages
309–312
Identifiers
PMID: 17525016
Source
Medline
License
Unknown

Abstract

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 degrees 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.

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