Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Yongwei Su¹, Xiaoqiang Li^2*
1Department of Anesthesiology, West China Hospital, Sichuan University, Sichuan, China

Corresponding Author: Xiaoqiang Li
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Received date: 07 April 2023; Accepted date: 22 April 2023; Published date: 29 April 2023

Citation: Su Y, Li X. Airway Management of a Patient with Montgomery T tube in situ undergoing Neurosurgery. Asp Biomed Clin Case Rep. 2023 Apr 29;6(2):83-86.

Copyright © 2023 Su Y, Li X. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Montgomery T-Tube, Double-Lumen Endotracheal Tube, Fibreoptic Scope, Airway Management

Abbreviations: MTT: Montgomery T-tube; DLT: Double-Lumen Endotracheal Tube

Abstract

This article stipulates the airway management in a patient requiring cranial debridement and cranioplasty with a Montgomery T-tube (MTT) in situ. Anesthetic techniques that have been previously described for surgeries with MTT in situ which can be managed by applying a laryngeal mask or intubating a trachea tube easily. The airway management of patients with an MTT in situ, requiring a supine position with the head rightly tilted and flexed, has not yet been addressed. In this article, we explored some possible approaches to cope with this arising problem. We present how we managed to intubate a double-lumen endotracheal tube onto the superior tracheal limb of the T-tube since the 5.0 mm ID tracheal tube (equivalent to a 6.9 mm ED) could not pass through the tube readily. This technique could possibly be considered for patients in similar clinical scenarios.