The tortuous airway: Anatomical variability requiring off centre tracheostomy

The tortuous airway: Anatomical variability requiring off centre tracheostomy

Can't intubate can't oxygenate (CICO) is a cause of concern for both the anaesthetist and airway surgeon. Anatomical variability in the upper airway can result in failed attempts at endotracheal intubation and subsequently a challenging surgical airway. We present the case of a 74 year old...

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Bibliographic Details
Main Authors: Mohammed Abdalrazig, Anish Patil, Thomas Crotty, Mel Corbett, Javed Munir
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Otolaryngology Case Reports
Subjects:
Tracheostomy
Airway
Intubation
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548821000035
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spelling doaj-45b36626c20b431894d9d6635e30cab32021-02-27T04:39:36ZengElsevierOtolaryngology Case Reports2468-54882021-03-0118100263The tortuous airway: Anatomical variability requiring off centre tracheostomyMohammed Abdalrazig0Anish Patil1Thomas Crotty2Mel Corbett3Javed Munir4Corresponding author. Sligo University Hospital, Sligo, Ireland.; Academic Department of Otorhinolaryngology, Head and Neck Surgery, Sligo University Hospital, IrelandAcademic Department of Otorhinolaryngology, Head and Neck Surgery, Sligo University Hospital, IrelandAcademic Department of Otorhinolaryngology, Head and Neck Surgery, Sligo University Hospital, IrelandAcademic Department of Otorhinolaryngology, Head and Neck Surgery, Sligo University Hospital, IrelandAcademic Department of Otorhinolaryngology, Head and Neck Surgery, Sligo University Hospital, IrelandCan't intubate can't oxygenate (CICO) is a cause of concern for both the anaesthetist and airway surgeon. Anatomical variability in the upper airway can result in failed attempts at endotracheal intubation and subsequently a challenging surgical airway. We present the case of a 74 year old man admitted with pneumonia on a background history of kyphoscoliosis and rheumatoid arthritis who required emergency ventilation due to an acute respiratory deterioration. After several failed attempts at intubation and difficulty maintaining oxygenation using supraglottic airway devices the decision to proceed to a surgical airway was made. During the operation the patient's trachea was noted to be 5 cm right of midline and tracheostomy tube was inserted successfully.http://www.sciencedirect.com/science/article/pii/S2468548821000035TracheostomyAirwayIntubation
collection DOAJ
language English
format Article
sources DOAJ
author Mohammed Abdalrazig
Anish Patil
Thomas Crotty
Mel Corbett
Javed Munir
spellingShingle Mohammed Abdalrazig
Anish Patil
Thomas Crotty
Mel Corbett
Javed Munir
The tortuous airway: Anatomical variability requiring off centre tracheostomy
Otolaryngology Case Reports
Tracheostomy
Airway
Intubation
author_facet Mohammed Abdalrazig
Anish Patil
Thomas Crotty
Mel Corbett
Javed Munir
author_sort Mohammed Abdalrazig
title The tortuous airway: Anatomical variability requiring off centre tracheostomy
title_short The tortuous airway: Anatomical variability requiring off centre tracheostomy
title_full The tortuous airway: Anatomical variability requiring off centre tracheostomy
title_fullStr The tortuous airway: Anatomical variability requiring off centre tracheostomy
title_full_unstemmed The tortuous airway: Anatomical variability requiring off centre tracheostomy
title_sort tortuous airway: anatomical variability requiring off centre tracheostomy
publisher Elsevier
series Otolaryngology Case Reports
issn 2468-5488
publishDate 2021-03-01
description Can't intubate can't oxygenate (CICO) is a cause of concern for both the anaesthetist and airway surgeon. Anatomical variability in the upper airway can result in failed attempts at endotracheal intubation and subsequently a challenging surgical airway. We present the case of a 74 year old man admitted with pneumonia on a background history of kyphoscoliosis and rheumatoid arthritis who required emergency ventilation due to an acute respiratory deterioration. After several failed attempts at intubation and difficulty maintaining oxygenation using supraglottic airway devices the decision to proceed to a surgical airway was made. During the operation the patient's trachea was noted to be 5 cm right of midline and tracheostomy tube was inserted successfully.
topic Tracheostomy
Airway
Intubation
url http://www.sciencedirect.com/science/article/pii/S2468548821000035
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