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Autoren: Trageser, Heiko
Lott, Carsten
Epp, Katharina
Pirlich, Nina
Titel: Subglottic stenosis imitating the carina : a case report of airway mimicry
Online-Publikationsdatum: 22-Jun-2021
Sprache des Dokuments: Englisch
Zusammenfassung/Abstract: We present a case of awake tracheal intubation with flexible bronchoscopy which resulted in incorrect tracheal tube placement. The presence of a stenotic subglottic lesion with an appearance similar to the carina led to the tube being positioned with only the tip within the trachea whilst the cuff was located between the vocal cords. A capnography trace was identified before induction of anaesthesia; however, visual confirmation of the carina was undertaken in a rushed manner due to the patient becoming agitated. Once the incorrect tracheal tube placement was identified, the decision was made to wake the patient. Thereafter, a more experienced operator successfully performed awake tracheal intubation with flexible bronchoscopy using a smaller tracheal tube, which easily passed through the subglottic stenosis. This report emphasises the importance of performing the ‘two-point check’ every time awake tracheal intubation is undertaken: to confirm correct tube placement, both a capnography trace and view of the tracheal lumen including the carina and main bronchi is required. This must be properly performed before induction of anaesthesia; safety should not be compromised by a stressful environment or time pressure.
DDC-Sachgruppe: 610 Medizin
610 Medical sciences
Veröffentlichende Institution: Johannes Gutenberg-Universität Mainz
Organisationseinheit: FB 04 Medizin
Veröffentlichungsort: Mainz
Version: Published version
Publikationstyp: Zeitschriftenaufsatz
Nutzungsrechte: CC BY-NC-ND
Informationen zu den Nutzungsrechten:
Zeitschrift: Anaesthesia reports
Seitenzahl oder Artikelnummer: 20
Verlag: Wiley
Verlagsort: Hoboken, NJ
Erscheinungsdatum: 2021
ISSN: 2637-3726
URL der Originalveröffentlichung:
DOI der Originalveröffentlichung: 10.1002/anr3.12094
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