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‘ workplace:
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:
Anest. intenziv. Med., 30, 2019, č. 2, s. 68-71
Category:
Overview
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
Sources
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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2019 Issue 2
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