Airway management using laryngeal mask airway in insertion of the Montgomery tracheal tube for subglottic stenosis -A case report-

• Main Authors: Jung Sun Park, Young-Suk Kwon, Sangseock Lee, Jun Heum Yon, Dong Won Kim
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2010-12-01
• Series: Korean Journal of Anesthesiology
• Subjects: laryngeal mask airway; montgomery t-tube; subglottic stenosis
• Online Access: http://ekja.org/upload/pdf/kjae-59-S33.pdf
• ISSN: 2005-6419; 2005-7563

The Montgomery tracheal tube (T-tube) is a device used as a combined tracheal stent and airway after laryngotracheoplasty for patients with tracheal stenosis. This device can present various challenges to anesthesiologists during its placement, including the potential for acute loss of the airway, inadequate administration of inhalation agents, and inadequacy of controlled mechanical ventilation. The present case of successful airway management used a laryngeal mask airway under total intravenous anesthesia with propofol and remifentanil in the insertion of a Montgomery T-tube in a tracheal resection and thyrotracheal anastomosis because of severe subglottic stenosis.