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Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube

  • M Kurien (a1), R Raviraj (a1), J Mathew (a1), I Kaliaperumal (a1) and S Ninan (a1)...

Abstract

Background:

In an emergency, the non-availability of a conventional paediatric tracheostomy tube is a therapeutic challenge for the attending surgeon.

Objective:

To describe a simple alternative to a paediatric tracheostomy tube for use in an emergency situation.

Method:

Case report of a 14-year-old boy who developed tracheomalacia following partial cricotracheal resection for subglottic stenosis. As a suitably sized tracheostomy tube (with a long narrow segment) was not available, an endotracheal tube was modified and used successfully. Details of the modification, and a relevant literature review, are also discussed.

Conclusion:

In the paediatric age group, when an appropriately sized tracheostomy tube is not available, a modified endotracheal tube is a simple temporary alternative; this may be especially useful in an emergency.

Copyright

Corresponding author

Address for correspondence: Dr Mary Kurien, Professor and Head, Dept of ENT, Head and Neck Surgery, Speech and Hearing, Unit 2, Christian Medical College, Vellore, Tamilnadu 632004, India Fax: +91 4162232035 E-mail: ent2@cmcvellore.ac.in

Footnotes

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Presented at the National Conference of Indian Society of Anaesthesiologists (ISACON 2009), 26–29 December 2009, Chennai, India

Footnotes

References

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1Al-Samri, M, Mitchell, I, Drummond, DS, Bjornson, C. Tracheostomy in children: a population-based experience over 17 years. Pediatr Pulmonol 2010;45:487–93
2Tweedie, DJ, Skilbeck, CJ, Cochrane, LA, Cooke, J, Wyatt, ME. Choosing a paediatric tracheostomy tube: an update on current practice. J Laryngol Otol 2008;122:161–9
3Grillo, HC. Tracheal T-tubes. In: Grillo, HC, ed. Surgery of the Trachea and Bronchi. Hamilton: BC Decker, 2004;749–62
4Rutter, MJ, Yellon, RF, Cotton, R. Management and prevention of subglottic stenosis in infants and children. In: Bluestone, CD, Stool, SE, Alper, CM, Arimand, EM, Casselbrant, ML, Dohar, JE, et al. eds. Pediatric Otolaryngology, 4th edn.Pennsylvania: WB Saunders, 2003;1519–42

Keywords

Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube

  • M Kurien (a1), R Raviraj (a1), J Mathew (a1), I Kaliaperumal (a1) and S Ninan (a1)...

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