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Eur J Cardiothorac Surg 2001;20:1037-1039
© 2001 Elsevier Science NL

How-to-do-it

A simple and secure technique for tracheal T-tube insertion

Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, 126-1 Anam-dong, Sungbuk-gu, Seoul 136-705, South Korea

Received 17 May 2001; received in revised form 24 July 2001; accepted 25 July 2001.

Corresponding author. Tel.: +82-2-920-5559; fax: +82-2-927-3104
e-mail: ksunmd{at}kumc.or.kr

Abstract

We describe a simple and secure technique for the insertion of a long Montgomery type T-tube in patients with tracheal stenosis. An endotracheal tube is placed into the lumen of the T-tube and by maintaining the airway during insertion, the technique has been found to be safe and it can prevent the kind of tracheal damage occurring with blind techniques.

Key Words: Intubation • Intratracheal • Trachea • Tracheal Stenosis • Tracheostomy