Anesthesia for a Patient with a Tracheal T-tube Stent Using an Urinary Drainage Catheter. |
Keun Man Shin, Seung Hwan Lee, Dong Soo Kim |
Department of Anesthesiology, College of Medicine, Kyung Hee University, Seoul, Korea. |
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Abstract |
The endotracheal silicon T-tube may be place both as a tracheostomy and as a splint to maintain the shape of the reconstructed airway during the healing process. For intermittent positive pressure ventilation throughout the side arm of the T-tube, the upper limb must be obstructed to prevent gases from escaping through the pharynx. Thus anesthesiologists should be aware of the special problems of establishing an airway through a tracheal T-tube. We recently experienced a case of anesthesia using an urinary drainage catheter which was inserted endotracheally to prevent gases from escaping through the upper limb or a T-tube under the laryngoscopy in a patients with a tracheal T-tube stent. We recommended the use of an urinary drainage catheter to facilitate positive pressure ventilation in patients with tracheal T-tube. |
Key Words:
Tracheal T-tube; Urinary drainage catheter |
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