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1 results

  • Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube

  • M Kurien, R Raviraj, J Mathew, I Kaliaperumal, S Ninan
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 7 / July 2011
    Published online by Cambridge University Press:
    13 April 2011, pp. 729-731
    Print publication:
    July 2011
  • Background:

    In an emergency, the non-availability of a conventional paediatric tracheostomy tube is a therapeutic challenge for the attending surgeon.

    Objective:

    To describe a simple alternative to a paediatric tracheostomy tube for use in an emergency situation.

    Method:

    Case report of a 14-year-old boy who developed tracheomalacia following partial cricotracheal resection for subglottic stenosis. As a suitably sized tracheostomy tube (with a long narrow segment) was not available, an endotracheal tube was modified and used successfully. Details of the modification, and a relevant literature review, are also discussed.

    Conclusion:

    In the paediatric age group, when an appropriately sized tracheostomy tube is not available, a modified endotracheal tube is a simple temporary alternative; this may be especially useful in an emergency.