Near total intrathoracic airway obstruction managed with a Tritube® and flow‐controlled ventilation
Summary We describe the management of a case of near total airway obstruction in a 79‐year‐old man who presented with a two‐week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid‐tracheal mass of unknown aetiology with critical airway obstruction. We s...
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| Veröffentlicht in: | Anaesthesia reports 2022-01, Vol.10 (1), p.n/a |
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| creator | Mallam, L. Massingberd‐Mundy, D. Girgis, M. De Zoysa, N. |
| description | Summary
We describe the management of a case of near total airway obstruction in a 79‐year‐old man who presented with a two‐week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid‐tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient’s airway using a Tritube® (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the Tritube, used in conjunction with a proprietary flow‐controlled ventilation system (Evone®, Ventinova Eindhoven, the Netherlands) are useful for critical airway obstruction, they can be problematic and thorough planning is essential. |
| doi_str_mv | 10.1002/anr3.12156 |
| format | Article |
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We describe the management of a case of near total airway obstruction in a 79‐year‐old man who presented with a two‐week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid‐tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient’s airway using a Tritube® (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the Tritube, used in conjunction with a proprietary flow‐controlled ventilation system (Evone®, Ventinova Eindhoven, the Netherlands) are useful for critical airway obstruction, they can be problematic and thorough planning is essential.</description><identifier>ISSN: 2637-3726</identifier><identifier>EISSN: 2637-3726</identifier><identifier>DOI: 10.1002/anr3.12156</identifier><identifier>PMID: 35252872</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>airway assessment: co‐existing disease ; Case Report ; difficult airway algorithm ; jet ventilation, gas exchange ; tumour: airway obstruction ; upper airway anatomy</subject><ispartof>Anaesthesia reports, 2022-01, Vol.10 (1), p.n/a</ispartof><rights>2022 Association of Anaesthetists.</rights><rights>2022 Association of Anaesthetists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3876-98fbc5c37e88a1570688b93afdaebe8217c999377d435b8d4369ba3c6530d2dc3</citedby><cites>FETCH-LOGICAL-c3876-98fbc5c37e88a1570688b93afdaebe8217c999377d435b8d4369ba3c6530d2dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885748/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885748/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27903,27904,45553,45554,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35252872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mallam, L.</creatorcontrib><creatorcontrib>Massingberd‐Mundy, D.</creatorcontrib><creatorcontrib>Girgis, M.</creatorcontrib><creatorcontrib>De Zoysa, N.</creatorcontrib><title>Near total intrathoracic airway obstruction managed with a Tritube® and flow‐controlled ventilation</title><title>Anaesthesia reports</title><addtitle>Anaesth Rep</addtitle><description>Summary
We describe the management of a case of near total airway obstruction in a 79‐year‐old man who presented with a two‐week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid‐tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient’s airway using a Tritube® (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the Tritube, used in conjunction with a proprietary flow‐controlled ventilation system (Evone®, Ventinova Eindhoven, the Netherlands) are useful for critical airway obstruction, they can be problematic and thorough planning is essential.</description><subject>airway assessment: co‐existing disease</subject><subject>Case Report</subject><subject>difficult airway algorithm</subject><subject>jet ventilation, gas exchange</subject><subject>tumour: airway obstruction</subject><subject>upper airway anatomy</subject><issn>2637-3726</issn><issn>2637-3726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kE1KAzEYhoMottRuPIBkLbROkmaS2Qil-AelgtR1-CaTaSPTScmkLd15BE_iITyKJ3HGaqkbN0kgz_t8fC9C5yTqkyiiV1B61ieU8PgItWnMRI8JGh8fvFuoW1UvUQ2TQcITcYpajFNOpaBtlE8MeBxcgALbMngIc-dBW43B-g1ssUur4Fc6WFfiBZQwMxne2DDHgKfehlVqPt4xlBnOC7f5fH3Trra4oqixtSmDLaCJnqGTHIrKdH_uDnq-vZmO7nvjx7uH0XDc00yKuJfIPNVcM2GkBMJFFEuZJgzyDExqJCVCJ0nChMgGjKeyPuMkBaZjzqKMZpp10PXOu1ylC5Np06xUqKW3C_Bb5cCqvz-lnauZWyspJRcDWQsudwLtXVV5k--zJFJN4aopXH0XXsMXh9P26G-9NUB2wMYWZvuPSg0nT2wn_QI8HY_y</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Mallam, L.</creator><creator>Massingberd‐Mundy, D.</creator><creator>Girgis, M.</creator><creator>De Zoysa, N.</creator><general>John Wiley and Sons Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>202201</creationdate><title>Near total intrathoracic airway obstruction managed with a Tritube® and flow‐controlled ventilation</title><author>Mallam, L. ; Massingberd‐Mundy, D. ; Girgis, M. ; De Zoysa, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3876-98fbc5c37e88a1570688b93afdaebe8217c999377d435b8d4369ba3c6530d2dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>airway assessment: co‐existing disease</topic><topic>Case Report</topic><topic>difficult airway algorithm</topic><topic>jet ventilation, gas exchange</topic><topic>tumour: airway obstruction</topic><topic>upper airway anatomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallam, L.</creatorcontrib><creatorcontrib>Massingberd‐Mundy, D.</creatorcontrib><creatorcontrib>Girgis, M.</creatorcontrib><creatorcontrib>De Zoysa, N.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Anaesthesia reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallam, L.</au><au>Massingberd‐Mundy, D.</au><au>Girgis, M.</au><au>De Zoysa, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Near total intrathoracic airway obstruction managed with a Tritube® and flow‐controlled ventilation</atitle><jtitle>Anaesthesia reports</jtitle><addtitle>Anaesth Rep</addtitle><date>2022-01</date><risdate>2022</risdate><volume>10</volume><issue>1</issue><epage>n/a</epage><issn>2637-3726</issn><eissn>2637-3726</eissn><abstract>Summary
We describe the management of a case of near total airway obstruction in a 79‐year‐old man who presented with a two‐week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid‐tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient’s airway using a Tritube® (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the Tritube, used in conjunction with a proprietary flow‐controlled ventilation system (Evone®, Ventinova Eindhoven, the Netherlands) are useful for critical airway obstruction, they can be problematic and thorough planning is essential.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>35252872</pmid><doi>10.1002/anr3.12156</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2637-3726 |
| ispartof | Anaesthesia reports, 2022-01, Vol.10 (1), p.n/a |
| issn | 2637-3726 2637-3726 |
| language | eng |
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| source | Wiley-Blackwell Journals; PubMed (Medline); EZB Electronic Journals Library |
| subjects | airway assessment: co‐existing disease Case Report difficult airway algorithm jet ventilation, gas exchange tumour: airway obstruction upper airway anatomy |
| title | Near total intrathoracic airway obstruction managed with a Tritube® and flow‐controlled ventilation |
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