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KMID : 0356920130650010061
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Korean Journal of Anesthesiology
2013 Volume.65 No. 1 p.61 ~ p.65
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Successful tracheal intubation using fiberoptic bronchoscope via an I-gel™ supraglottic airway in a pediatric patient with Goldenhar syndrome -A case report-
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Kim Young-Lok
Seo Da-Mi
Shim Kwang-Seok
Kim Eun-Ju
Lee Ji-Hyang
Lee Sang-Gon
Ban Jong-Seouk
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Abstract
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The I-gel™ is a single-use supraglottic airway device introduced in 2007 which features a non-inflatable cuff and allows passage of a tracheal tube owing to its large diameter and short length of the airway tube. In this case, the authors experienced a difficult airway management on a 4-year-old boy with underlying Goldenhar syndrome who underwent a tonsillectomy. Intubation using a laryngoscope was unsuccessful at the first attempt. In the following attempt, we used the I-gel™ supraglottic airway for ventilation and were able to achieve successful intubation with a cuffed tube by using fiberoptic bronchoscope through the I-gel™ supraglottic airway. The authors suggest that I-gel™ is a useful device for ventilation and it has many advantages for tracheal intubation in pediatric patients with difficult airway.
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KEYWORD
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Airway management, Fiberoptic bronchoscope, Goldenhar syndrome, Laryngeal mask airway, Pediatric
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