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Korean Journal of Anesthesiology 2006;50(3):319-321.
DOI: https://doi.org/10.4097/kjae.2006.50.3.319   
Anesthetic Management of Difficult Tracheotomy with Fiberoptic Bronchoscope: A case report.
Chul Ho Chang, Dong Woo Han, Yong Beom Kim, Seon Hee Cho, Yong Taek Nam
1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ytnam@yumc.yonsei.ac.kr
2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
The purpose of tracheotomy is to obtain secure airway for difficult airway management and long-term lung ventilation. Tracheotomy is an invasive procedure with the possibility of severe complications, but it is the last choice for difficult airway management. To perform tracheotomy is difficult in patients with anatomically distorted trachea, screened trachea by mass, fibrosis or adhesion and obesity. We report the experience of successful tracheotomy in the patient of severely distorted airway due to previous surgeries with the aid of the light illumination of fiberoptic bronchoscope.
Key Words: difficult tracheotomy; distorted trachea; fiberoptic bronchoscope


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