Yap T, Quick M, Moore P. Emergency tracheostomy for failed intubation due to glottic stenosis.
BMJ Case Rep 2021;
14:14/2/e239806. [PMID:
33637501 PMCID:
PMC7919554 DOI:
10.1136/bcr-2020-239806]
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Abstract
Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a 'can't intubate, can't ventilate' situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. This paper highlights the importance of awareness of laryngeal pathology masquerading as respiratory conditions. It also outlines the critical approach to managing 'can't intubate, can't ventilate' situations.
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