Humble Foley's catheter to the rescue in a case of T-tube insertion: a case report.
10.4097/kjae.2017.70.6.648
- Author:
Upasana GOSWAMI
1
;
Praneet SINGH
Author Information
1. Department of Anesthesia, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi, India. singhpraneet87@gmail.com
- Publication Type:Case Report
- Keywords:
Foley's catheter;
Tracheal stenosis;
T-tube
- MeSH:
Adult;
Anesthesia;
Anesthetics, Inhalation;
Catheters*;
Constriction, Pathologic;
Extremities;
Female;
Glottis;
Humans;
Trachea;
Tracheal Stenosis;
Tracheostomy
- From:Korean Journal of Anesthesiology
2017;70(6):648-651
- CountryRepublic of Korea
- Language:English
-
Abstract:
The Montgomery T-tube poses a challenge to anesthesiologists because of loss of anesthetic gases through the open proximal end of the vertical limb and lack of standard anesthesia circuit connectors. Here, we present a case of a 25-year-old woman with a reported history of accidental strangulation 18 months previously. The patient had a metallic tracheostomy tube in situ due to the development of tracheal stenosis. Computed tomography showed significant narrowing in a 7–8-mm segment, 2 cm proximal to the tracheostomy tube in situ. She was scheduled for tracheal reconstruction surgery and T-tube insertion due to persistent subglottic stenosis. In this case, the Foley's catheter, which was inserted into the glottis orally, not only aided easy insertion of the T-tube into the trachea through the tracheal stoma, but also enabled us to stop the loss of anesthetic gases through the proximal vertical limb of the T-tube.
