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J Clin Anesth. 2004 Mar;16(2):121-3.

Ultrasound-guided percutaneous dilatational tracheostomy with laryngeal mask airway control in a morbidly obese patient.

Author information

1
Department of Anesthesiology and ICU, University Hospital Rijeka, Rijeka, Croatia. alan.sustic@named.medri.hr

Abstract

Percutaneous dilatational tracheostomy (PDT) is a widely used and accepted method of long-term ventilation of critically ill patients in many intensive care units. However, it has certain contraindications that must be taken into account; for example, difficult anatomy and short, bull neck that are so often seen in morbidly obese persons. We present a case of a morbidly obese female patient in whom ultrasound-guided PDT was performed and in whom the airway was controlled by Laryngeal Mask Airway (LMA) during the procedure. Possible advantages of an ultrasonography-guided method and LMA control in morbidly obese patients also are discussed.

PMID:
15110374
DOI:
10.1016/j.jclinane.2003.04.005
[Indexed for MEDLINE]

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