# Utilizing a Suction Catheter as a Makeshift Tracheostomy Tube in a Premature Infant: A Case Report

## TL;DR

A suction catheter was used as a temporary tracheostomy tube for a premature infant due to size limitations of standard tubes.

## Contribution

First reported use of a 6-French suction catheter as a makeshift tracheostomy tube in a preterm infant.

## Key findings

- The suction catheter served as a life-saving alternative in an emergent situation for a 31-week-old infant.
- The case highlights the size mismatch between preterm infants' airways and available tracheostomy tubes.
- This approach suggests potential for acute care solutions in extremely small preterm infants.

## Abstract

One of the most challenging aspects regarding pediatric tracheostomy tube placement is the size selection, particularly in preterm infants. We present the first reported case of a makeshift tracheostomy tube using a 6‐French suction catheter in a 31‐week‐old premature infant in an emergent situation. This approach holds promise as a potentially life‐saving intervention for extremely small preterm infants. Furthermore, this case emphasizes the size discrepancy between the premature neonatal airway and the smallest tracheostomy tubes available. Further research is warranted to allow for more diverse clinical solutions that can accommodate similar cases in acute settings.