title: Do Not Burn Your Airway Bridge: A Technique to Safely Exchange a Tracheostomy Tube for a Tracheal Tube.
abstract: Tracheostomy is one of the most ancient and commonly performed surgical procedures. When tracheostomized patients require a subsequent intervention, it is usually necessary to exchange the tracheostomy tube for a tracheal tube, which can be dangerous. These potential complications may be overlooked or underestimated by the anesthesia providers. An inability to ventilate the patient and replace the tube after removal of a fresh tracheostomy tube can escalate rapidly to a life-threatening crisis. We present a case in which an airway exchange catheter was used to safely replace a tracheostomy tube with a tracheal tube in a patient with a fresh tracheostomy.
authors.affiliation: From the *Escuela de Medicina, Universidad de Antioquia, Medellin, Colombia; and †Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
authors.forename: Miguel Alejandro
authors.initials: MA
authors.lastname: Patiño
authors.forename: Dam-Thuy
authors.initials: DT
authors.lastname: Truong
authors.forename: Angela
authors.initials: A
authors.lastname: Truong
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Cata
mesh_terms: D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000601:surgery*; D014139:Tracheostomy / Q000295:instrumentation* / Q000379:methods*