Masked blocked tracheostomy tube

Acute airway obstruction often necessitates assisted ventilation. In general, this can be achieved by an endotracheal intubation. Tracheostomy is reserved for total obstruction especially lesions involving oral cavity or oropharynx, or in cases of anticipating failed intubation. It is technically more difficult and consumes more time, instrument and expertise. Complications related to it are disastrous, and mainly to occur in the early post-operative period. In a previously operated neck, and with underlying comorbidities affecting the lung functions, the immediate post-operative complications pertaining to the tubes cannot be underestimated, since at times it could be masked by the symptoms of the comorbidities. Thus, monitoring and prompt intervention must be made readily available.