Prophylactic percutaneous transtracheal catheterisation in the management of patients with anticipated difficult airways: a case series.

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

Anaesthesia

journal_title

Anaesthesia

authors

Gerig HJ,Schnider T,Heidegger T

doi

10.1111/j.1365-2044.2005.04219.x

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

801-5

issue

8

eissn

0003-2409

issn

1365-2044

pii

ANA4219

journal_volume

60

pub_type

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