Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-6011
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dc.contributor.authorTrageser, Heiko-
dc.contributor.authorLott, Carsten-
dc.contributor.authorEpp, Katharina-
dc.contributor.authorPirlich, Nina-
dc.date.accessioned2021-06-22T08:35:01Z-
dc.date.available2021-06-22T08:35:01Z-
dc.date.issued2021-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/6020-
dc.description.abstractWe 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.en_GB
dc.language.isoengde
dc.rightsCC BY-NC-ND*
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleSubglottic stenosis imitating the carina : a case report of airway mimicryen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-6011-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleAnaesthesia reportsde
jgu.journal.volume9de
jgu.journal.issue1de
jgu.pages.start20de
jgu.pages.end23de
jgu.publisher.year2021-
jgu.publisher.nameWileyde
jgu.publisher.placeHoboken, NJde
jgu.publisher.urihttps://doi.org/10.1002/anr3.12094de
jgu.publisher.issn2637-3726de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1002/anr3.12094
Appears in collections:JGU-Publikationen

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