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CASE REPORT
Year : 2012  |  Volume : 1  |  Issue : 2  |  Page : 90-92

Emergency percutaneous tracheostomy in two cancer patients with difficult airway: An alternative to cricothyroidotomy?


Department of Critical Care Medicine, Max Superspeciality Hospital, 1, Press Enclave Road, Saket, New Delhi, India

Correspondence Address:
Prashant Nasa
Department of Critical Care Medicine, Max Superspeciality Hospital, 1, Press Enclave Road, Saket, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-330X.103722

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Inability to intubate and/or ventilate either due to distorted neck anatomy or restricted mouth opening is uncommon but potentially hazardous clinical scenario in head and neck cancer patients. Emergency cricothyroidotomy in such patients may provide a means of oxygenating the patient, but in practice has limitations and does not establish a definitive airway. We report 2 cases who had distorted face and neck anatomy in which percutaneous tracheostomy was done as an emergency life-saving procedure when other measures to obtain a definitive airway failed.


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