Abstract
The size of the tracheostomy tube (TT) in relation to the airway should be guided by the underlying anatomical deformity. The optimal choices in tracheostomy tube selection in such patients are not defined. This case report describes some discernible issues involved in the management of a patient with restrictive lung disease due to severe kypho-scoliosis with type II respiratory failure admitted in the ICU of our institution. Computed tomography (CT) scan was instrumental in measuring the infragottic length and diameter of trachea. This expedited the weaning process of patient and her discharge from ICU. DOI: http://dx.doi.org/10.4038/slja.v21i2.5093
Highlights
Case report A 32 year old female patient was admitted in the intensive care unit (ICU) with severe restrictive lung disease and kypho-scoliosis involving thoracic vertebrae (T4T11)
Patients with severe kyphoscoliosis are difficult to manage in ICU due to compensatory changes that occur in these patients
tracheostomy tubes (TT) must fit the airway without causing any undue pressure on any portion of the neck or trachea and should fulfil the functional needs of the patient
Summary
A patient spends as much as 42% of the time during weaning from mechanical ventilation with a likely higher percentage in patients with lung disease.[1]. Case report A 32 year old female patient was admitted in the ICU with severe restrictive lung disease and kypho-scoliosis involving thoracic vertebrae (T4T11). Her arterial blood gas (ABG) analysis showed uncompensated metabolic and respiratory acidosis.
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