Korean J Anesthesiol.  2010 Dec;59(Suppl):S33-S36. 10.4097/kjae.2010.59.S.S33.

Airway management using laryngeal mask airway in insertion of the Montgomery tracheal tube for subglottic stenosis: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Sanggye Paik Hostpital, Inje University School of Medicine, Seoul, Korea. sslee@paik.ac.kr
  • 2Department of Thoracic Surgery, Sanggye Paik Hostpital, Inje University School of Medicine, Seoul, Korea.

Abstract

The Montgomery tracheal tube (T-tube) is a device used as a combined tracheal stent and airway after laryngotracheoplasty for patients with tracheal stenosis. This device can present various challenges to anesthesiologists during its placement, including the potential for acute loss of the airway, inadequate administration of inhalation agents, and inadequacy of controlled mechanical ventilation. The present case of successful airway management used a laryngeal mask airway under total intravenous anesthesia with propofol and remifentanil in the insertion of a Montgomery T-tube in a tracheal resection and thyrotracheal anastomosis because of severe subglottic stenosis.

Keyword

Laryngeal mask airway; Montgomery T-tube; Subglottic stenosis

MeSH Terms

Airway Management
Anesthesia, Intravenous
Constriction, Pathologic
Humans
Inhalation
Laryngeal Masks
Piperidines
Propofol
Respiration, Artificial
Stents
Tracheal Stenosis
Piperidines
Propofol
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