Tracheal extubation in children with known difficult airways is associated with an increased risk of adverse events. Currently, there is no reliable measure to predict the need for emergent reintubation due to airway inadequacy. Airway exchange catheter–assisted extubation has been shown to be a useful adjunct in decreasing the risk of adverse events due to failed extubation. We report a case of using an airway exchange catheter–assisted extubation with continuous end-tidal carbon dioxide monitoring for a pediatric patient with a known difficult airway.
From the Department of Anesthesiology, University of Wisconsin, Madison, Wisconsin.
Accepted for publication April 3, 2018.
The authors declare no conflicts of interest.
Address correspondence to Courtney C. Yegian, MD, University of Wisconsin, 2550 University Ave, Apt 221, Madison, WI 53705. Address e-mail to firstname.lastname@example.org.