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British Journal of Anaesthesia, 2001, Vol. 86, No. 6 886-891
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Respiratory failure after tracheal extubation in a patient with halo frame cervical spine immobilization—rescue therapy using the Combitube airway

M. Mercer

Department of Anaesthesia, Frenchay Hospital, Bristol BS16 1LE, UK

{dagger}LMA® is the property of Intavent Limited.

A 78-yr-old man, with halo frame cervical spine immobilization, suffered rapid respiratory deterioration after tracheal extubation in the intensive care unit. Control of the airway was difficult as bag-valve-mask ventilation was ineffective, tracheal intubation was known to be difficult from management of a previous episode of respiratory failure on the ward, and laryngeal mask insertion proved impossible. Rescue therapy using a Combitube airway is described and discussed.

Br J Anaesth 2001; 86: 886–91


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