How we managed a difficult to ventilate patient

JOURNAL TITLE: Indian Journal of Critical Care Medicine

Author
ISSN
0972-5229
DOI
10.4103/0972-5229.156478
Volume
19
Issue
5
Publishing Year
2015
Pages
2
Article keywords
Difficult to ventilate, mediastinal shift, tracheal abutment, tracheal deviation

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.

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