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KMID : 1147920220050010027
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Medical Biological Science and Engineering
2022 Volume.5 No. 1 p.27 ~ p.31
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Difficult tracheostomy tube placement to neck breather with chronic stenosis after total laryngectomy
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Kim Dong-Seok
Cho Sam-Soon
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Abstract
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As neck breathers have been proven to improve life expectancy, the chance of requiring neck breathing treatment is increasing. A 75-year-old man with a history of total laryngectomy in 1995 for laryngeal cancer was diagnosed with mechanical obstruction due to colorectal cancer. Emergency Hartmann’s operation was performed. We pre-evaluated a narrow stoma airway measuring 5 mm with chronic stenosis. Anesthesia was successfully induced using a 4.5-mm tube with a fiberoptic scope. After stomaplasty, we converted to a 7.0-mm tube. Moreover, we pre-evaluated the neck breather’s airway, and planned how to induce anesthesia and cope with emergency situations.
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KEYWORD
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Difficult airway, Fiberoptic guided intubation, Neck breather, Stoma complication, Tracheostomy intubation This
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