Failed intubation and emergency percutaneous tracheostomy

Failed intubation associated with difficulty with ventilation is rare. Cricothyrotomy may provide a means of oxygenating the patient, but in practice it may be difficult to perform and does not establish a definitive airway. We report two patients in whom percutaneous tracheostomy was used as an eme...

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Bibliographic Details
Published in:	Anaesthesia Vol. 53; no. 1; pp. 72 - 74
Main Authors:	Dob, D. P., McLure, H. A., Soni, N.
Format:	Journal Article
Language:	English
Published:	Oxford Blackwell Science Ltd, UK 01-01-1998 Blackwell
Subjects:	Adult Airway Obstruction - surgery Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Contraindications Emergencies General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Humans Intubation, Intratracheal Intubation, tracheal; complications Male Medical sciences Middle Aged Tracheostomy Case study Human Surgery General anesthesia Complication Intubation Emergency Tracheotomy Trachea Percutaneous route
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Summary:	Failed intubation associated with difficulty with ventilation is rare. Cricothyrotomy may provide a means of oxygenating the patient, but in practice it may be difficult to perform and does not establish a definitive airway. We report two patients in whom percutaneous tracheostomy was used as an emergency procedure. In both cases placement was extremely rapid and salvaged the situation, leaving a definitive airway.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0003-2409 1365-2044
DOI:	10.1111/j.1365-2044.1998.00253.x