Opening of Tracheostomy in a Morbid Obese Patient With Frova Catheter
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 1
Abstract
Morbid obesity is defined as body mass index (BMI) at or over 40. Unfavorable neck anatomies of the patient are considered counter indication for percutaneous tracheostomy and they are referred for opening of surgical tracheostomy. In our case report, problems encountered in a morbid obese patient who could not be extubated due to post operative respiratory problems and the use of frova catheter (COOK, USA) in this procedure is discussed. A 42 old female patient at the weight of 246 kg. with BMI 89.4 could not be extubated due to respiratory causes post operatively and she was transferred to operating theater for surgical tracheostomy. After tracheostomy was opened, due to unsuitable anatomy associated with thick fat tissue on the neck the tracheostomy cannule couldn’t forwarded from tracheostomy hole, frova intubation catheter was sent and over it, 8 no endotracheal tube was sent in order to aerate the patient. Opening of tracheostomy in the morbidly obese is challenging operation due to specific anatomic conditions. Frova intubation guide helps in difficult intubation cases and was reported to be used for retrograde intubation in patients in whom antegrade intubation was not possible. In morbid obese patients, opening tracheostomy and then cannulating is difficult. Frova intubation guide can be used for difficult intubation in morbidly obese patients. In addition, as in the present case, it can be used in conditions in which tracheostomy cannula is too short or could not be placed during tracheostomy procedure.
Authors and Affiliations
Ozkan Onal, M. Emin Zora, Omur Ilban, Cagdas Elsurer, Jale Bengi Celik
Keywords
Related Articles
- EP ID EP340060
- DOI 10.9734/BJMMR/2016/22653
- Views 66
- Downloads 0
No More Live Lectures - Quixotism or Realism-? Association between Learning Preferences and Attendances at Live Lectures
Background: The increasing decline in medical students’ attendances at live lectures left educators with differing views on its acceptability. Aim: The aim of this study was to look at the association between the medica...
Ultrastructure of Thyroid and Parathyroid Bodies in Case of Hypocalcemia and Hypercalcemia
Aims: To analyze ultrastructural transformations of parafollicular cells of thyroid body and main cells of Parathyroid body in case of experimental blood hypocalcemia and hypercalcemia. Place and Duration of Study: Tashk...
Adherence to Lifestyle Modifications among Adult Hypertensive Nigerians with Essential Hypertension in a Primary Care Clinic of a Tertiary Hospital in Resource-poor Environment of Eastern Nigeria
Background: Lifestyle modifications (LSMs) are indispensable in blood pressure control among hypertensive patients. However, the extent to which patients lifestyles (LS) coincide with clinical prescriptions has become an...
Demographics and Outcome of Referrals of Critically Ill Patients from a University Teaching Hospital, Uyo, South – South, Nigeria
Background: Referral of critically ill patients from one centre to another is an integral part of healthcare system. Aims: To evaluate the outcome of referral practices from the Intensive Care Unit of the University of U...
Model Comparison and Factors Associated with Quality of Life of Type 2 Diabetic Patients: Gender Differentials
Background: Type 2 diabetes mellitus (T2DM) disease has become public health concern, because of its increasing rate worldwide especially in developing countries. Previous studies have used statistical methods like multi...