Skip Navigation


BJA Advance Access originally published online on June 13, 2008
British Journal of Anaesthesia 2008 101(3):354-357; doi:10.1093/bja/aen172
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
101/3/354    most recent
aen172v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Wouters, K. M. A.
Right arrow Articles by Morley, A. P.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wouters, K. M. A.
Right arrow Articles by Morley, A. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

New approach to anaesthetizing a patient at risk of pulmonary aspiration with a Montgomery T-tube in situ

K. M. A. Wouters, R. Byreddy, M. Gleeson and A. P. Morley*

Department of Anaesthesia, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK

* Corresponding author. E-mail: andrew.morley{at}gstt.nhs.uk

We describe our airway management in a patient requiring emergency laparotomy with a Montgomery T-tube in situ. This uncuffed silicone T-tube acts as both stent and tracheostomy after laryngotracheal surgery, and entails various difficulties for the anaesthetist. Several anaesthetic techniques have been described for T-tube insertion. The management of patients with a T-tube in situ, at risk of pulmonary aspiration, has not been addressed. Below, we present some possible approaches to this problem and describe how we successfully carried out an awake fibreoptic intubation via the tracheal limb of the T-tube. This technique might be considered for patients in similar circumstances, but knowledge of relevant internal and external tube diameters, and appropriate tracheal tube size selection, is crucial.

Keywords: airway, obstruction; anaesthetic techniques, fibreoptic; complications, intubation tracheal; equipment, airway; equipment, tubes tracheal


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.