'Speaking valve' aspiration in a laryngectomy patient

The article describes the case of a 73-year-old laryngectomy patient who aspirated his speaking valve through his stoma. The patient has a history of primary tracheo-oesophageal puncture and neck dissection. Adequate oxygen delivery through an anatomically abnormal, shared airway past an obstruction is said to be related to the main anaesthetic problems in the case report. The necessity for adaptive airway management techniques for the safe management of patients with stoma is stressed.V. Rao Kadam, P. Lambert, H. Pant, M. O'Reill