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KMID : 0356920170700060648
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Korean Journal of Anesthesiology
2017 Volume.70 No. 6 p.648 ~ p.651
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Humble Foley's catheter to the rescue in a case of T-tube insertion: a case report
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Goswami Upasana
Singh Praneet
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Abstract
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The Montgomery T-tube poses a challenge to anesthesiologists because of loss of anesthetic gases through the open proximal end of the vertical limb and lack of standard anesthesia circuit connectors. Here, we present a case of a 25-year-old woman with a reported history of accidental strangulation 18 months previously. The patient had a metallic tracheostomy tube in situ due to the development of tracheal stenosis. Computed tomography showed significant narrowing in a 7?8-mm segment, 2 cm proximal to the tracheostomy tube in situ. She was scheduled for tracheal reconstruction surgery and T-tube insertion due to persistent subglottic stenosis. In this case, the Foley's catheter, which was inserted into the glottis orally, not only aided easy insertion of the T-tube into the trachea through the tracheal stoma, but also enabled us to stop the loss of anesthetic gases through the proximal vertical limb of the T-tube.
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KEYWORD
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Foley's catheter, Tracheal stenosis, T-tube
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