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Updated: Nov 16, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Emergency tracheostomy for failed intubation due to glottic stenosis
Tessa Yap1, Mark Quick2, Paige Moore2
1ENT/Otolaryngology, Royal Perth Hospital, Perth, Western Australia, Australia tessa.yap@health.wa.gov.au.
Abstract:
Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a 'can't intubate, can't ventilate' situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. This paper highlights the importance of awareness of laryngeal pathology masquerading as respiratory conditions. It also outlines the critical approach to managing 'can't intubate, can't ventilate' situations.
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