Old problem new approach- malposition of tracheostomy tube in patient with anatomical deformity
Abstract
The size of the tracheostomy tube (TT) in relation to the airway should be guided by the underlying anatomical deformity. The optimal choices in tracheostomy tube selection in such patients are not defined. This case report describes some discernible issues involved in the management of a patient with restrictive lung disease due to severe kypho-scoliosis with type II respiratory failure admitted in the ICU of our institution. Computed tomography (CT) scan was instrumental in measuring the infragottic length and diameter of trachea. This expedited the weaning process of patient and her discharge from ICU.
© 2013 Vanita Ahuja, Deepak Thapa, Dheeraj Kapoor, Navneet Kumar, Ravinder Kaur, published by College of Anaesthesiologists of Sri Lanka
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