Humble Foley’s catheter to the rescue in a case of T-tube insertion -a case report-

다국어 초록 (Multilingual Abstract)

The Montgomery T-tube poses a challenge to anesthesiologists because of loss of anesthetic gases through the open proximal end of the vertical limb and lack of standard anesthesia circuit connectors. Here, we present a case of a 25-yearold woman with a reported history of accidental strangulation 18 months previously. The patient had a metallic tracheostomy tube in situ due to the development of tracheal stenosis. Computed tomography showed significant narrowing in a 7–8-mm segment, 2 cm proximal to the tracheostomy tube in situ. She was scheduled for tracheal reconstruction surgery and T-tube insertion due to persistent subglottic stenosis. In this case, the Foley’s catheter, which was inserted into the glottis orally, not only aided easy insertion of the T-tube into the trachea through the tracheal stoma, but also enabled us to stop the loss of anesthetic gases through the proximal vertical limb of the T-tube.

참고문헌 (Reference)

1 Wahidi MM, "The Montgomery T-tube tracheal stent" 24 : 437-443, 2003

2 Montgomery WW, "T-tube tracheal stent" 82 : 320-321, 1965

3 정현식, "Successful use of i-gel™ in a patient with tracheal stenosis undergoing Montgomery t-tube insertion" 대한마취통증의학회 65 (65): 32-33, 2013

4 Wouters KM, "New approach to anaesthetizing a patient at risk of pulmonary aspiration with a Montgomery T-tube in situ" 101 : 354-357, 2008

5 Guha A, "Kendall JB. The Montgomery T-tube: anaesthetic problems and solutions" 87 : 787-790, 2001

6 Kerai S, "Anesthetic management of a patient with Montgomery t-tube in-situ for direct laryngoscopy" 29 : 105-107, 2013

7 Kulkarni VR, "Anaesthetic challenges of the Montgomery T-tube insertion in a patient with fascioscapulohumeral dystrophy" 49 : 502-504, 2005

8 Joshi S, "A rare case of adult acquired tracheo-oesophageal fistula with sub-glottic stenosis for corrective surgeryan anesthetic challenge" 8 : GD01-GD03, 2014

9 Ní Chonchubhair A, "A novel approach to insertion of the Montgomery T-tube" 49 : 605-607, 1994