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Review Case Reports
Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube.
- M Kurien, R Raviraj, J Mathew, I Kaliaperumal, and S Ninan.
- Department of ENT, Head and Neck Surgery, Speech and Hearing, Christian Medical College, Vellore, Tamilnadu, India. ent2@cmcvellore.ac.in
- J Laryngol Otol. 2011 Jul 1; 125 (7): 729-31.
BackgroundIn an emergency, the non-availability of a conventional paediatric tracheostomy tube is a therapeutic challenge for the attending surgeon.ObjectiveTo describe a simple alternative to a paediatric tracheostomy tube for use in an emergency situation.MethodCase 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.ConclusionIn 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.
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