A smartphone comes to the rescue during tracheostomy
We had a teenage boy in our ICU, who was a case of acute inflammatory demyelinating polyneuropathy (AIDP) with type 2 respiratory failure and requiring mechanical ventilatory support. In view of prolonged mechanical ventilation, he was taken up for percutaneous tracheostomy (PCT) under bronchoscopic guidance .
Thorough literature search afterwards yielded a similar experience being reported previously . Deshmukh et al. had reported the use of smartphone torchlight during a thoracoscopic procedure when their light source had malfunctioned. During malfunctioning of the light source, our “quick fix” was useful and saved the day.
Though it cannot be routinely advocated, on the backdrop of light source malfunction during a critical procedure like percutaneous tracheostomy (under bronchoscopic guidance), a smartphone can be used as an alternative to provide adequate illumination.
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- 1.Álvarez-Maldonado P, Pérez-Rosales A, et al. Bronchoscopy-guided percutaneous tracheostomy. A safe technique in intensive care. Cir. 2013;81(2):93–7.Google Scholar
- 2.Deshmukh V, Iyer S. Use of smart phone flashlight in bronchoscopy and thoracoscopy. J Bronchology Interv Pulmonol. 2019;26(1). https://doi.org/10.1097/LBR.0000000000000452.
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