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Tube-in-tube airway management in a patient with Montgomery T-tube in situ -a case report-

대한마취과학회지 2021년 74권 2호 p.165 ~ 168
Peng Ling, Wei Wei,
소속 상세정보
 ( Peng Ling ) - Sichuan University West China Hospital Department of Anesthesiology
 ( Wei Wei ) - Sichuan University West China Hospital Department of Anesthesiology

Abstract


Background: Montgomery T-tube (MTT) is a useful airway device but is seldom used. Owing to its specific shape and structure, it is challenging for anesthesiologists to manage airway in patients with MTT in situ who require general anesthesia and continuous positive-pressure ventilation (CPPV).

Case: A 48-year-old man (weight 74 kg) with an MTT in situ was scheduled for local pancreatic resection under general anesthesia. We transorally inserted a cuffed endotracheal tube into the intratracheal limb of the MTT to achieve CPPV and to deliver the inhalation anesthetic. The endotracheal tube was removed successfully after the patient fully recovered from anesthesia. No tracheal injury or hemorrhage occurred after intubation or extubation, and the location of the MTT remained unchanged.

Conclusions: Transoral insertion of a cuffed endotracheal tube into the intratracheal limb of the MTT could therefore be considered as a safe and feasible approach for airway management.

키워드

Airway management; Anesthesia; Anesthetic management; Endotracheal T-tube; Montgomery T-tube; T-shaped airway stent

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