Difficult tracheostomy tube placement in an obese patient with a short neck -A case report-

Korean J Anesthesiol. 2011 Jun;60(6):434-6. doi: 10.4097/kjae.2011.60.6.434. Epub 2011 Jun 17.


We report a difficult case of tracheostomy in a 34-year-old obese woman with a short neck. The tracheostomy tube placement repeatedly failed because of anatomical changes due to obesity and a short neck, tracheal mucosal swelling due to prolonged intubation, and unexpected false passage; however, it was successfully performed using an endotracheal tube exchanger as a guidewire.

Keywords: Guidewire; Obesity; Tracheostomy.