Emergency tracheostomy for failed intubation due to glottic stenosis. Issue 2 (26th February 2021)

• Record Type: Journal Article
• Authors: Yap, Tessa; Quick, Mark; Moore, Paige
• Is Part Of: BMJ case reports. Volume 14:Issue 2(2021)
• Publication Date: 2021-02-26
• Subjects: ear -- nose and throat/otolaryngology -- anaesthesia -- head and neck surgery -- otolaryngology / ENT; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-239806
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a 'can't intubate, can't ventilate' situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. This paper highlights the importance of awareness of laryngeal pathology masquerading as respiratory conditions. It also outlines the critical approach to managing 'can't intubate, can't ventilate' situations.