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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 14, No. 3, 2010, pp. 144-146
Bioline Code: cm10029
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 14, No. 3, 2010, pp. 144-146

 en Light at a tunnel's end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy
Goneppanavar, Umesh; Rao, Shwethapriya; Shetty, Nanda; Manjunath, Prabhu; Anjilivelil, Daniel Thomas & Iyer, Sadasivan S.

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.

Keywords
Decannulation, distorted anatomy, false passage, lightwand, open tracheostomy

 
© Copyright 2010 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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