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2026, Number P5

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Acta Med 2026; 24 (P5)

Intubation in a patient with a complete tracheal ring, the importance of an early approach to the airway

Muñoz MJM, Fuentes TSL
Full text How to cite this article

Language: Spanish
References: 4
Page: 592-593
PDF size: 695.27 Kb.


Key words:

difficult intubation, videolaryngoscopy, tracheal stenosis, anesthetic management.

ABSTRACT

A 63-year-old male with a surgical history and suspected tracheal stenosis underwent video laryngoscopy, revealing a tracheal ring. A 6.5 mm endotracheal tube was successfully placed without complications. This case underscores the importance of personalized airway strategies, including videolaryngoscopy, downsized tube selection, and cuff pressure monitoring.


REFERENCES

  1. Krisciunas GP, Langmore SE, Gomez-Taborda S, Fink D, Levitt JE,McKeehan J et al. The association between endotracheal tube sizeand aspiration (during flexible endoscopic evaluation of swallowing)in acute respiratory failure survivors. Crit Care Med. 2020; 48 (11):1604-1611. doi: 10.1097/ccm.0000000000004554.

  2. Cao AC, Rereddy S, Mirza N. Current practices in endotracheal tubesize selection for adults. Laryngoscope. 2020; 131 (9): 1967-1971.doi: 10.1002/lary.29192.

  3. Sternfeld D, Wright S. Tracheal rupture and the creation of a falsepassage after emergency intubation. Ann Emerg Med. 2003; 42 (1):88-92. doi: 10.1067/mem.2003.278.

  4. Pascual MC, Ares AB, García JPJ, Vizcaíno MPM. Estenosis traqueal.Rev Esp Anestesiol Reanim. 2013; 61 (4): 234. doi: 10.1016/j.redar.2013.04.003.




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Acta Med. 2026;24