Montgomery T tube in a management of inoperable tracheal stenosis

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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: Celková anestezie - kazuistiky

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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