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Case Reports
Use of the flexible intubating fibrescope for tracheal re-intubation in a patient with difficult extubation.
- M T Popat, R M Dravid, and S R Watt-Smith.
- Department of Maxillo-facial Surgery, Oxford Radcliffe Hospital, UK.
- Anaesthesia. 1999 Apr 1;54(4):359-61.
AbstractDifficulty in tracheal extubation was experienced in a patient following major maxillofacial surgery for reconstruction of the maxilla using bone grafts and a microvascular free flap. With the aid of an intubating flexible fibrescope, the cause of the difficulty was identified as a stitch accidentally transfixed through the tracheal tube. Tracheal re-intubation was required to facilitate surgical exploration to remove the stitch and the proximal end of the tube. The tip of an Olympus LF-2 intubating fibrescope was successfully negotiated in the trachea alongside the original tube with its cuff deflated. This allowed safe and speedy railroading of a new tube immediately after the distal end of the original tube was removed.
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