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 1998-01, Vol.53 (1), p.72-74
Main Authors: Dob, D. P., McLure, H. A., Soni, N.
Format: Article
Language:English
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
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Description
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.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1998.00253.x