From Tracheal Stenosis to Tracheostomy Displacement: A Case Report on a Seemingly Never-Ending Difficult Airway

A A Pract. 2020 Apr;14(6):e01185. doi: 10.1213/XAA.0000000000001185.

Abstract

We report a case of undiagnosed tracheal stenosis that culminated in acute respiratory failure in an inpatient unit. After failed intubation attempts, the placement of a supraglottic airway resulted in successful ventilation and was followed by a tracheostomy in the operating room. Postoperatively, the tracheostomy tube became accidentally dislodged necessitating emergency measures with eventual reinsertion of a longer tracheostomy tube. We present this case to highlight life-saving airway strategies that may be considered in such emergency situations and propose 2 simple algorithms to guide anesthesiologists in managing similar airway emergencies.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Inpatients
  • Intubation, Intratracheal / instrumentation*
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / therapy*
  • Tracheal Stenosis / diagnosis*
  • Tracheal Stenosis / etiology
  • Tracheostomy / instrumentation