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KMID : 0356920090560020200
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Korean Journal of Anesthesiology
2009 Volume.56 No. 2 p.200 ~ p.203
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Unilateral vocal cord palsy occurred after difficult endotracheal intubation using intubating laryngeal mask airway - A case report -
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Mun Cheol-Sin
Kim Hyung-Tae
Heo Hyeon-eon
Lee Jun-Hak
Kwon Young-Eun
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Abstract
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Airway management is important during general anesthesia. Difficulties with a direct laryngoscopy can be managed successfully in a routine manner using a laryngeal mask airway. A 65-year-old woman was scheduled to undergo gynecologic surgery. After injecting the intravenous induction agents and muscle relaxants, intubation was attempted with a direct laryngoscope. However, the vocal cords could not be observed with only the epiglottis being slightly visible. Although intubation was re-attempted by another anesthesiologist, it failed. Intubation was successfully performed via an intubating laryngeal mask airway (ILMA) after additional 100% oxygen mask ventilation. We report a case of vocal cord palsy subsequent to tracheal extubation after endotracheal intubation via ILMA.
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KEYWORD
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Difficult intubation, Hoarseness, Intubating laryngeal mask airway, Laryngeal mask airway, Vocal cord palsy
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