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KMID : 0356920140660030237
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Korean Journal of Anesthesiology
2014 Volume.66 No. 3 p.237 ~ p.239
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Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report
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Sung Joon-Kyung
Kim Hyung-Gon
Kim Jung-Eun
Jang Myung-Soo
Kang Jong-Man
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Abstract
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A 28-year-old male patient with occipito-atlanto-axial instability underwent a cervical fusion with posterior technique. Post-operatively, the endotracheal tube (ETT) was removed, and the patient was transferred to the intensive care unit. After transfer, an upper airway obstruction developed and reintubations with a laryngoscope were attempted but failed. We inserted a #4 proseal laryngeal mask airway (LMA) and passed a 5.0 mm ETT through the LMA with the aid of a fiberoptic bronchoscope. We passed a tube exchanger through the 5.0 mm ETT and exchanged it with a 7.5 mm ETT. This method may be a useful alternative for difficult tracheal intubations.
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KEYWORD
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Airway obstruction, Bronchoscopes, Cervical vertebrae, Laryngeal masks, Spinal fusion, Tube exchanger
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