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Case Reports
[Use of the i-gel for Tracheostomy in a Patient with Neck Deformity and Tracheal Stenosis].
- Taisuke Yokota, Takashi Asai, and Yasuhisa Okuda.
- Masui. 2015 Mar 1;64(3):307-9.
AbstractWe report a successful use of the i-gel for tracheostomy in a patient with severe neck deformity and tracheal stenosis. A 20-year-old man, 142 cm, 22 kg, was scheduled for tracheotomy. He had tracheal stenosis with hypoxemia, due to the pressure from the brachiocephalic artery, associated with severe progression of symptomatic scoliosis and thoracic deformity. Using a fiberoptic bronchoscope, we confirmed that there was no upper airway obstruction. After induction of anesthesia, facemask ventilation was easy. The i-gel was easily inserted, and fiberscope-aided tracheal intubation through the i-gel was attempted, but decided not to intubate the trachea, due to the degree of stenosis. Tracheostomy was performed, while a clear airway was maintained by the i-gel. We consider that the i-gel has a potential role for tracheostomy in a patient with neck deformity and tracheal stenosis.
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