We report a difficult case of tracheostomy in a 34-year-old obese woman with a short neck. The tracheostomy tube placement repeatedly failed because of anatomical changes due to obesity and a short neck, tracheal mucosal swelling due to prolonged intubation, and unexpected false passage; however, it was successfully performed using an endotracheal tube exchanger as a guidewire.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121091 | PMC |
http://dx.doi.org/10.4097/kjae.2011.60.6.434 | DOI Listing |
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