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Montgomery T tube in a management of inoperable tracheal stenosis


Authors: J. Votruba 1;  Z. Šestáková 1;  M. Lukeš 2;  P. Michálek 2,3
Authors place of work: 1. klinika tuberkulózy a respiračních nemocí, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze 1;  Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze 2;  Department of Anaesthetics, Antrim Area Hospital, Antrim, Spojené království 3
Published in the journal: Anest. intenziv. Med., 30, 2019, č. 2, s. 68-71
Category:

Summary

Surgically untreatable tracheal stenosis is a very serious condition that requires repeated interventions of the interventional bronchologist and has an uncertain prognosis. This case report describes the definitive solution of tracheal stenosis, following long-term unsuccessful dilatations and stenting, by the insertion of the Montgomery T tube. The procedure requires close cooperation between the interventional bronchologist and the anaesthetist, using a combination of rigid and flexible bronchoscopes and high-frequency jet ventilation. In this patient, the insertion of the Montgomery T tube provided a significant improvement in the quality of life, maintaining patency of the airways, enabling phonation, and reducing the risk of acute choking.

Keywords:

tracheal stenosis – Montgomery T tube – jet ventilation


Zdroje

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Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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