{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:51:19Z","timestamp":1753883479958,"version":"3.41.2"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Providing adequate ventilation may remain complex in patients with severe proximal laryngotracheal stenosis, especially when the airway is shared with the surgeon during tracheal resection surgery. We describe an effective alternative to standard endotracheal intubation using a R\u00fcsch flexible intubation guide catheter. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> In two patients undergoing tracheal repair surgery, we failed to insert a 5.0 inner diameter endotracheal tube (6.9\u00a0mm outer diameter) or a 6.0\u00a0mm outer diameter endoscope through the laryngotracheal stenosis. However, using indirect laryngoscopy, a 6.0 outer diameter R\u00fcsch flexible intubation guide catheter was passed successfully through the vocal cords and then through the stenosis. Controlled ventilation was achieved by means of the R\u00fcsch guide, provided with its two large Murphy's eyes. When the trachea was opened, the R\u00fcsch guide was removed just enough for the surgeons to place a Montandon tracheal tube, at that point taking over ventilation. A 7.0 inner diameter endotracheal cuffed tube had been inserted onto the R\u00fcsch guide and left pending upstream from the vocal cords. Once the posterior tracheal wall was sutured, this endotracheal cuffed tube was slid along the R\u00fcsch guide through the vocal cords with the cuff placed beyond the tracheal sutures. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Controlled ventilation through the R\u00fcsch flexible intubation guide catheter showed satisfying and stable ventilatory parameters in both patients. Inspiratory pressures of 25\u201330\u00a0mmHg were enough to reach adequate tidal volumes around 450\u00a0ml. End tidal CO<jats:sub>2<\/jats:sub> was kept between 35 and 40\u00a0mmHg (PaCO<jats:sub>2<\/jats:sub> showed similar values). Standard endotracheal intubation at the end of the tracheal resection was easy and safe thanks to the R\u00fcsch guide still in place between the vocal cords. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> We suggest an effective and reliable method using a R\u00fcsch flexible intubation guide catheter for airway management in patients suffering from laryngotracheal stenosis in the setting of tracheal repair surgery. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-018-0284-9","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T11:44:09Z","timestamp":1527248649000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful ventilation through a R\u00fcsch intubation guide catheter in severe laryngotracheal stenosis"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9097-8085","authenticated-orcid":false,"given":"Victoria","family":"Van Regemorter","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaud","family":"Poti\u00e9","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Louis","family":"Scholtes","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Veevaete","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Van Boven","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Universit\u00e9 catholique de Louvain, Avenue Hippocrate 10, 1200, Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,1]]},"reference":[{"doi-asserted-by":"publisher","key":"bibr1-s40463-018-0284-9","DOI":"10.21037\/jtd.2016.11.57"},{"doi-asserted-by":"publisher","key":"bibr2-s40463-018-0284-9","DOI":"10.4097\/kjae.2013.65.3.254"},{"doi-asserted-by":"publisher","key":"bibr3-s40463-018-0284-9","DOI":"10.1213\/00000539-199804000-00040"},{"doi-asserted-by":"publisher","key":"bibr4-s40463-018-0284-9","DOI":"10.2147\/TCRM.S31684"},{"doi-asserted-by":"publisher","key":"bibr5-s40463-018-0284-9","DOI":"10.1136\/thx.28.6.667"},{"doi-asserted-by":"publisher","key":"bibr6-s40463-018-0284-9","DOI":"10.1093\/bja\/47.11.1225"},{"doi-asserted-by":"publisher","key":"bibr7-s40463-018-0284-9","DOI":"10.1007\/BF03039449"},{"doi-asserted-by":"publisher","key":"bibr8-s40463-018-0284-9","DOI":"10.1007\/s00540-014-1912-9"},{"doi-asserted-by":"publisher","key":"bibr9-s40463-018-0284-9","DOI":"10.1016\/j.athoracsur.2012.08.068"},{"doi-asserted-by":"publisher","key":"bibr10-s40463-018-0284-9","DOI":"10.1016\/j.jtcvs.2014.02.069"},{"doi-asserted-by":"publisher","key":"bibr11-s40463-018-0284-9","DOI":"10.1007\/BF03020661"},{"doi-asserted-by":"publisher","key":"bibr12-s40463-018-0284-9","DOI":"10.1111\/j.1365-2044.2006.04686.x"}],"container-title":["Journal of Otolaryngology - Head &amp; 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