The Difficult Airway with Tracheostomy - Manufacturing of an Individualized Tracheal Tube with Modern Imaging and 3D Printing

Case discussion of a 51-year-old female patient with ventilator dependency due to Charcot-Marie-Tooth-Hoffmann syndrome (HMSN I) and cervical spinal fusion with complex tracheal canula management. Following 16 years of noninvasive ventilation due to chronic hypercapnic failure with 24 hour dependenc...

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Bibliographic Details
Published inPneumologie (Stuttgart, Germany) Vol. 76; no. 2; p. 112
Main Authors Kösler, Markus, Kabitz, Hans-Joachim, Walterspacher, Stephan
Format Journal Article
LanguageGerman
Published Germany 01.02.2022
Subjects
Female
Humans
Middle Aged
Printing, Three-Dimensional
Respiration
Respiration, Artificial - methods
Trachea - diagnostic imaging
Trachea - surgery
Tracheostomy
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Summary:Case discussion of a 51-year-old female patient with ventilator dependency due to Charcot-Marie-Tooth-Hoffmann syndrome (HMSN I) and cervical spinal fusion with complex tracheal canula management. Following 16 years of noninvasive ventilation due to chronic hypercapnic failure with 24 hour dependency on the ventilator, an elective surgical tracheostomy and switch to invasive ventilation was carried out. Because of severe cervical scoliosis, common tracheal canulae could not provide an adequate fit. With development of a 3D model according to the CT scans of the patient, an individualized tracheal tube was customized that provided excellent ventilatory results and the ability to speak during invasive ventilation.
ISSN:1438-8790
DOI:10.1055/a-1593-9620