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

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 re...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2014, 66(3), , pp.237-239
Main Authors: Sung, Joon Kyung, Kim, Hyung Gon, Kim, Jung Eun, Jang, Myung-Soo, Kang, Jong-Man
Format: Article
Language:English
Subjects:
airway obstruction
bronchoscopes
Case Report
cervical vertebrae
laryngeal masks
spinal fusion
tube exchanger
마취과학
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Summary: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.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2014.66.3.237