title: How we managed a difficult to ventilate patient.
abstract: A 40-year-old female presented with respiratory difficulty, cough and sputum with blood streaking. Her right lung was destroyed, and trachea was shifted to the same side. On mechanical ventilation, she developed hypoxia and rise in blood pressure. Ventilator was not delivering set tidal volume. After looking into the cause, it was decided to reintubate the patient with new endotracheal tube after cutting bevel. Thereafter, there was successful ventilation.
authors.affiliation: Department of Critical Care Medicine, Sarvodaya Hospital, Faridabad, Haryana, India.
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Garg
keywords: Difficult to ventilate; mediastinal shift; tracheal abutment; tracheal deviation