How we managed a difficult to ventilate patient

doi:10.4103/0972-5229.156478

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How we managed a difficult to ventilate patient

Keywords : Difficult to ventilate, mediastinal shift, tracheal abutment, tracheal deviation

Citation Information : How we managed a difficult to ventilate patient. Indian J Crit Care Med 2015; 19 (5):278-279.

DOI: 10.4103/0972-5229.156478

License: CC BY-ND 3.0

Published Online: 01-05-2015

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Abstract

A 40-year-old female presented with respiratory difficulty, cough and sputum with blood streaking. Her right lung was destroyed, and trachea was shifted to the same side. On mechanical ventilation, she developed hypoxia and rise in blood pressure. Ventilator was not delivering set tidal volume. After looking into the cause, it was decided to reintubate the patient with new endotracheal tube after cutting bevel. Thereafter, there was successful ventilation.

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Brasch RC, Heldt GP, Hecht ST. Endotracheal tube orifice abutting the tracheal wall: A cause of infant airway obstruction. Radiology 1981;141:387-91.
Hartrey R, Kestin IG. Movement of oral and nasal tracheal tubes as a result of changes in head and neck position. Anaesthesia 1995;50:682-7.
Sripada R, Keys K, Eichholz KM. Inability to ventilate the lungs of a patient with tracheal anomaly and in prone position. J Clin Anesth 2008;20:386-8.
Lee JY, Lee SY, Shin I, Chung KH, Chun DH. Unexpected difficulty in ventilating the lungs after tracheal intubation - A case report. Korean J Anesthesiol 2011;60:437-9.
Togashi H, Hirabayashi Y, Mitsuhata H, Saitoh K, Shimizu R. The beveled tracheal tube orifice abutted on the tracheal wall in a patient with Forestier′s disease. Anesthesiology 1993;79:1452-3.

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