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- Alan Sustić, Zeljko Zupan, and Igor Antoncić.
- Department of Anesthesiology and ICU, University Hospital Rijeka, Rijeka, Croatia. alan.sustic@named.medri.hr
- J Clin Anesth. 2004 Mar 1;16(2):121-3.
AbstractPercutaneous dilatational tracheostomy (PDT) is a widely used and accepted method of long-term ventilation of critically ill patients in many intensive care units. However, it has certain contraindications that must be taken into account; for example, difficult anatomy and short, bull neck that are so often seen in morbidly obese persons. We present a case of a morbidly obese female patient in whom ultrasound-guided PDT was performed and in whom the airway was controlled by Laryngeal Mask Airway (LMA) during the procedure. Possible advantages of an ultrasonography-guided method and LMA control in morbidly obese patients also are discussed.
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