Navigating Airway Management in Post-tracheostomy Patients: A Case Report and Review of the Literature

TL;DR

This case report discusses successful one-lung ventilation in a post-laryngectomy patient and reviews related literature on airway management in similar cases.

Contribution

The paper presents a successful case of one-lung ventilation using a double-lumen tube in a post-laryngectomy patient.

Findings

One-lung ventilation was successfully achieved using a double-lumen tube in a post-laryngectomy patient.

The case highlights the challenges and potential solutions for airway management in anatomically altered upper airways.

Abstract

One-lung ventilation (OLV) is an essential technique in thoracic anesthesia to isolate lungs and provide optimum operating conditions. Different techniques have been described in the literature to achieve adequate surgical exposure. However, in anatomically altered upper airways, such as in post-laryngectomy patients, airway management remains challenging. Here, we report a case where OLV was successfully accomplished utilizing a double-lumen tube following a total laryngectomy and a comprehensive literature review of achieving OLV in patients with tracheostomy/laryngectomy. Informed consent was obtained from the patient, permitting the publication of this case report along with all associated clinical images and data.

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