Ultrasound-guided percutaneous dilatational tracheostomy with laryngeal mask airway control in a morbidly obese patient

Percutaneous dilatational tracheostomy (PDT) is a widely used and accepted method of long-term ventilation of critically ill patients in many intensive care units. However, it has certain contraindications that must be taken into account; for example, difficult anatomy and short, bull neck that are...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2004-03, Vol.16 (2), p.121-123
Main Authors: SUSTIC, Alan, ZUPAN, Zeljko, ANTONCIC, Igor
Format: Article
Language:English
Subjects:
Airway management
Analgesics
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Dilatation
Female
Humans
Intensive care
Laryngeal Mask Airway
Laryngeal Masks
Medical sciences
Middle Aged
obesity
Obesity, Morbid
Ostomy
percutaneous tracheostomy
Punctures
Trachea - diagnostic imaging
Tracheostomy - methods
ultrasonography
Ultrasonography, Interventional
Ventilation
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Summary:Percutaneous dilatational tracheostomy (PDT) is a widely used and accepted method of long-term ventilation of critically ill patients in many intensive care units. However, it has certain contraindications that must be taken into account; for example, difficult anatomy and short, bull neck that are so often seen in morbidly obese persons. We present a case of a morbidly obese female patient in whom ultrasound-guided PDT was performed and in whom the airway was controlled by Laryngeal Mask Airway (LMA) during the procedure. Possible advantages of an ultrasonography-guided method and LMA control in morbidly obese patients also are discussed.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2003.04.005