Abstract:
:Primary tracheostomy under local anaesthesia is indicated in the management of an anticipated difficult airway in patients in whom less invasive procedures are expected to fail or have already failed. However, primary tracheostomy is a relatively complex procedure and places not inconsiderable stress on the patient. In a prospective study in our hospital over a period of 22 months, we were able to avoid primary tracheostomy in 11 patients with very difficult airways. All 11 patients were managed with prophylactically inserted transtracheal catheters and jet ventilation of the lungs. This ensured an adequate oxygen supply during tracheal intubation, and made overall patient management much easier. This method has established itself as a standard procedure in our hospital.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Gerig HJ,Schnider T,Heidegger Tdoi
10.1111/j.1365-2044.2005.04219.xsubject
Has Abstractpub_date
2005-08-01 00:00:00pages
801-5issue
8eissn
0003-2409issn
1365-2044pii
ANA4219journal_volume
60pub_type
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