Impossible Airway Requiring Venovenous Bypass for Tracheostomy

The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the...

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Bibliographic Details
Published in:	Case reports in anesthesiology Vol. 2012; no. 2012; pp. 1 - 3
Main Authors:	Gardes, Johnathan, Straker, Tracey
Format:	Journal Article
Language:	English
Published:	Cairo, Egypt Hindawi Puplishing Corporation 01-01-2012 Hindawi Publishing Corporation Hindawi Limited
Subjects:	Airway management Algorithms Anesthesiology Antibiotics Case Report Emergency medical care Hypothyroidism Intubation Medical imaging Ostomy Ventilation
Online Access:	Get full text
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Summary:	The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the inability to be intubated as well as severe scar tissue at the surgical site. A combination of regional anesthesia and venovenous bypass is used to facilitate the surgical airway management of this patient. Cerebral oximetry and a multidisciplinary team approach aid in early detection of an oxygenation issue, as well as the emergent intervention that preserved this patient’s life.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Academic Editors: J. J. Derose, M. Kodaka, and M. Marandola
ISSN:	2090-6382 2090-6390
DOI:	10.1155/2012/592198