Scholarlink

<p>Acute airway obstruction secondary to tracheal stenosis represents a critical emergency requiring immediate intervention. Conventional approaches for airway reestablishment through existing tracheostomata frequently encounter technical difficulties when distal stenotic lesions are present. This study presents clinical outcomes of a modified technique employing rigid endoscopic guidance for emergency airway management. A retrospective analysis was conducted on adult patients presenting with acute respiratory distress and patent tracheostomata who underwent rigid endoscope-assisted airway reestablishment between January 2021 and August 2024. Following unsuccessful conventional tube reinsertion, patients received intervention using a 4-millimeter rigid Hopkins telescope with portable illumination for direct visualization and guided endotracheal tube placement beyond stenotic segments. Seven patients (male <i>n</i> = 5, female <i>n</i> = 2) aged 21 to 58 years underwent successful rigid endoscope-guided airway reestablishment. All cases demonstrated tracheal stenosis located 2–3 centimeters proximal to the carina with luminal diameters measuring 4.5–5.2 millimeters. Complete resolution of respiratory distress was achieved in all patients with mean procedural duration of 12.7&#xa0;min (range 8–18&#xa0;min). No procedural complications occurred, and all patients tolerated the intervention without adverse events. Rigid endoscope-guided airway reestablishment represents a safe and effective emergency intervention for patients with tracheal stenosis and patent tracheostomata. The technique demonstrates high success rates with minimal procedural time and may serve as a valuable alternative when conventional approaches fail.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Rigid Endoscope Guided Reintubation Through Tracheostoma in Extreme Emergency Situations – Short Series on a Novel Technique

  • 期刊论文

  • 发表日期：

    2025年8月20日

查看全文
  • N. Prashanth,
  • Vikas Sharma,
  • Satyawati Mohindra,
  • Naresh K. Panda,
  • Sourabha K. Patro,
  • Deepak Saharan

摘要

Acute airway obstruction secondary to tracheal stenosis represents a critical emergency requiring immediate intervention. Conventional approaches for airway reestablishment through existing tracheostomata frequently encounter technical difficulties when distal stenotic lesions are present. This study presents clinical outcomes of a modified technique employing rigid endoscopic guidance for emergency airway management. A retrospective analysis was conducted on adult patients presenting with acute respiratory distress and patent tracheostomata who underwent rigid endoscope-assisted airway reestablishment between January 2021 and August 2024. Following unsuccessful conventional tube reinsertion, patients received intervention using a 4-millimeter rigid Hopkins telescope with portable illumination for direct visualization and guided endotracheal tube placement beyond stenotic segments. Seven patients (male n = 5, female n = 2) aged 21 to 58 years underwent successful rigid endoscope-guided airway reestablishment. All cases demonstrated tracheal stenosis located 2–3 centimeters proximal to the carina with luminal diameters measuring 4.5–5.2 millimeters. Complete resolution of respiratory distress was achieved in all patients with mean procedural duration of 12.7 min (range 8–18 min). No procedural complications occurred, and all patients tolerated the intervention without adverse events. Rigid endoscope-guided airway reestablishment represents a safe and effective emergency intervention for patients with tracheal stenosis and patent tracheostomata. The technique demonstrates high success rates with minimal procedural time and may serve as a valuable alternative when conventional approaches fail.