We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary byp...

Abstract Background Costal cartilage graft (CCG) sustains primary donor material for laryngotracheal reconstruction in patients with post-intubation tracheal stenosis (PITS). But, the elasticity and viability of CCG decrease elderly. This study was aimed to examine age factor PITS cases according treatment groups, especially surgery group. Methods retrospective designed. Patients a diagnosis we...

A 27-yr-old lady with a past history of prolonged ventilation presented with worsening respiratory distress caused by tracheal stenosis. She required urgent tracheal resection and reconstruction. Because of the risk of an acute respiratory obstruction, spinal anaesthesia was used to establish cardiopulmonary bypass by cannulating the femoral artery and femoral vein. Adequate gas exchange was po...

Tracheal stenosis has numerous possible etiologies, including iatrogenic trauma from an over-inflated endotracheal/tracheostomy tube cuff, malignancy, chronic inflammatory diseases (eg, sarcoidosis), and various collagen vascular diseases (eg, Wegener disease, relapsing polychondritis). If an underlying etiology cannot be identified, the condition is termed idiopathic tracheal stenosis. First r...

BACKGROUND Water is known to have lubricating properties, thus it is used for lubrication of tracheal tubes to reduce airway injuries caused by intubation. However, there is no definite evidence to substantiate the beneficial effects of lubricating tracheal tubes using water for attenuating airway injuries. Moreover, the lubrication pretreatment may cause contamination of the tube, leading to r...

OBJECTIVE To demonstrate an alternative method for intubating patients with fractures of maxilla and nose, prior to surgery. DESIGN Cases Report. PARTICIPANTS We studied 10 patients with facial fractures that affected maxilla and nose. INTERVENTION The patients were submitted to surgery under general anesthesia and submental oro-tracheal intubation. RESULTS This type of intubation allow...

SUMMARY Tracheal intubation using direct laryngoscopy has a high failure rate when performed by untrained medical personnel. This study compares tracheal intubation following direct laryngoscopy by inexperienced medical students when initially trained by using either the GlideScope, a video assisted laryngoscope, or a rigid (Macintosh) laryngoscope. Forty-two medical students with no previous e...

Acquired stenosis of the trachea or bronchus in newborn infants is a possible complication of perinatal intubation and mechanical ventilation. Although the exact pathophysiology is unknown, stenosis formation seems to be initiated by pressure necrosis. Prematurity is thought to be an important risk factor for acquired airway stenosis. Management of stenotic lesions may be conservative, surgical...