Failed tracheostomy under local anaesthesia...plan B?


Severe stridor of recent onset is a challenge to deal with because of the lack of investigations on which to base the management plan. We describe a case of an elderly lady who presented to us with a short history of severe stridor. We encountered unanticipated difficulties with tracheostomy under local anaesthesia as the thyroid was replaced by a diffuse mass and the airway had to be secured by an awake fibre-optic intubation. Awake fibre-optic intubation is thought to be a relative contraindication in acute upper airway obstruction, but occasionally tracheostomy under local anaesthesia may not be possible and in experienced hands an awake fibre-optic intubation is a reasonable alternative.

Cite this paper

@article{Maiya2006FailedTU, title={Failed tracheostomy under local anaesthesia...plan B?}, author={Bala Maiya and Hayden Smith}, journal={The Journal of laryngology and otology}, year={2006}, volume={120 10}, pages={882-4} }