PMC9933416_01
Computerized Tomography of Occlusion and Visualization of Novel Repair Technique. A) Computed tomography imaging revealing tracheal obstruction proximal to the tracheostomy site.. B-F) Original illustration of retrograde dilation technique through existing tracheostomy site and subsequent stenting with a Montgomery  Safe-T-Tube .
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FIG1
Given our unique situation, we thought of a novel approach to treating our patient, which we have detailed below in Figure 1. Cook Ciaglia Blue Rhino  tracheostomy kit was inserted retrograde through the point of occlusion until it was visualized by the bronchoscope. Care was taken to pass the needle anteriorly so as to avoid the membranous portion of the trachea and potential esophageal injury (Figure 1C). Fr (Figure 1E). Fourth, the patient was recannulated and placed back on the ventilator to be reoxygenated. The ventilator was then connected to the LMA  Protector  Airway with Cuff Pilot (Figure 1F).