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KMID : 1155520120070020147
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Anesthesia and Pain Medicine
2012 Volume.7 No. 2 p.147 ~ p.150
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Endotracheal intubation using i-gel and a flexible fiber optic bronchoscope -A case report-
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Lim Hyun-Kyoung
Choi Chun-Gil
Shinn Helen-Ki
Lee Choon-Soo
Hwang Sung-Il
Lee Seong-Muk
Song Jang-Ho
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Abstract
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Most anesthesiologists, at one point or another, are faced with a difficult airway. We came upon an unexpected difficult airway and a failed intubation using a direct laryngoscope and lightwand. At this point, we decided to insert an i-gel which is quick and simple. This allowed us to maintain oxygenation and ventilation. After checking for the location of the laryngeal inlet with a flexible fiber optic bronchoscope, a 5.5 mm internal diameter endotracheal tube was inserted into the trachea over the flexible fiber optic bronchoscope. Finally, a suitable a 7.0 mm internal diameter endotracheal tube was inserted using an exchange catheter technique. With respect to this case, we conclused that the i-gel is a very helpful device for endotracheal intubation in patients with difficult airways.
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KEYWORD
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Difficult intubation, Fiberoptic, Supraglottic airway
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