TITLE

Light at a tunnel's end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy

AUTHOR(S)
Goneppanavar, Umesh; Rao, Shwethapriya; Shetty, Nanda; Manjunath, Prabhu; Anjilivelil, Daniel Thomas; Iyer, Sadasivan S.
PUB. DATE
July 2010
SOURCE
Indian Journal of Critical Care Medicine;Jul-Sep2010, Vol. 14 Issue 3, p144
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
False passage and loss of airway during tracheostomy are not uncommon, especially in patients with short and thick necks. Distorted neck anatomy following either repeated insertion attempts or due to underlying malignancy may make it very difficult to locate the trachea even while attempting open/surgical tracheostomy, despite good exposure of the neck in such situations. The lightwand is not an ideal device for tracheal intubation in such patients. However, it can be useful in these patients while performing open tracheostomy. Passing the lightwand through the orotracheal tube can aid in rapid identification of the trachea in such situations and may help reduce the occurrence of complications subsequent to repeated false passage. We report a series of four such cases where use of lightwand aided in rapidly locating the trachea during tracheostomy complicated by distorted anatomy.
ACCESSION #
57209753

 

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