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A rapid sequence induction was initiated, and a Glidescope revealed bilateral vocal cord palsy with severe oedema causing an inability to pass a tube or stylet. Tracheostomy was attempted above the suprasternal notch but was obstructed by the stent. Oxygen saturations dropped steadily, reaching as low as 38%. Emergency cricothyroidotomy was performed, compliant with DAS guidelines, that proved successful. The stent was removed, which was blocked with blood and secretions, and tracheostomy was placed 2\u2005days later. The patient made a full neurological recovery.<\/jats:p>","DOI":"10.1136\/bcr-2016-218948","type":"journal-article","created":{"date-parts":[[2017,2,25]],"date-time":"2017-02-25T00:55:25Z","timestamp":1487984125000},"page":"bcr2016218948","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Emergency cricothyroidotomy following tracheobronchial stenting"],"prefix":"10.1136","volume":"2017","author":[{"given":"Simon Robert","family":"Cavinato","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Intensive Care, Saint George's Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Denning","sequence":"additional","affiliation":[{"name":"Saint George's Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan P","family":"Madden","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic, ST Georges Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,2,24]]},"reference":[{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei267"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00002-0"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.3","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer058"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.4","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev371"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.5","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-201052"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.6","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei186"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.7","first-page":"335","article-title":"Beitrage zu den operationen an den lu\u0456weJen","volume":"163","author":"Trendelenburg","year":"1871","journal-title":"Langenbecks Arch Chir"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.8","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/S0140-6736(02)16426-9","article-title":"Treatment of tracheal stenosis by a new T-shaped tracheotomy tube","volume":"137","author":"Bond","year":"1891","journal-title":"Lancet"},{"key":"2025082723091924000_2017.feb24_1.bcr2016218948.9","unstructured":"Brunings W , Albrecht W . 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