Anest. intenziv. Med. 2019;30(2):68-71 | DOI: 10.36290/aim.2019.022

Montgomery T tube in a management of inoperable tracheal stenosisCelková anestezie - kazuistiky

J. Votruba^1,*, Z. Šestáková¹, M. Lukeš², P. Michálek^2,3

¹ 1. klinika tuberkulózy a respiračních nemocí, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze

² Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze

³ Department of Anaesthetics, Antrim Area Hospital, Antrim, Spojené království

Surgically untreatable tracheal stenosis is a very serious condition that requires repeated interventions of the interventional bronchologist and has an uncertain prognosis. This case report describes the definitive solution of tracheal stenosis, following long-term unsuccessful dilatations and stenting, by the insertion of the Montgomery T tube. The procedure requires close cooperation between the interventional bronchologist and the anaesthetist, using a combination of rigid and flexible bronchoscopes and high-frequency jet ventilation. In this patient, the insertion of the Montgomery T tube provided a significant improvement in the quality of life, maintaining patency of the airways, enabling phonation, and reducing the risk of acute choking.

Keywords: tracheal stenosis; Montgomery T tube; jet ventilation

Received: January 7, 2019; Accepted: February 25, 2019; Published: April 1, 2019  Show citation