Use of the Aintree intubation Catheter® in a patient with an unexpected difficult airway

To present a case where the Aintree intubation catheter (AIC) was used in conjunction with the Laryngeal Mask Airway (LMA) and a fibreoptic bronchoscope (FOB) in a patient with an unexpected difficult airway. A 38-yr-old 90 kg man scheduled for nasal endoscopy with ethmoidectomy under general anesth...

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Bibliographic Details
Published in:Canadian journal of anesthesia 2005-06, Vol.52 (6), p.646-649
Main Authors: ZURA, Andrew, DOYLE, D. John, ORLANDI, Marc
Format: Article
Language:English
Subjects:
Adult
Airway management
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bronchoscopy
Catheterization - instrumentation
Endoscopy
Fiber Optic Technology
Humans
Intubation
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Laryngeal Masks
Laryngoscopes
Male
Medical sciences
Nose - surgery
Nursing
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Summary:To present a case where the Aintree intubation catheter (AIC) was used in conjunction with the Laryngeal Mask Airway (LMA) and a fibreoptic bronchoscope (FOB) in a patient with an unexpected difficult airway. A 38-yr-old 90 kg man scheduled for nasal endoscopy with ethmoidectomy under general anesthesia was found, unexpectedly, to be difficult to intubate using both a Macintosh laryngoscope (#4 blade) and a GlideScope video laryngoscope despite having an airway examination that was unremarkable except for slightly decreased mouth opening and a large tongue. Intubation was achieved by inserting a size 5 disposable LMA into the upper airway, introducing a FOB into an AIC inserting the FOB/AIC assembly into the trachea via the LMA, removing the LMA, and then passing a regular size (7.5 mm) endotracheal tube into the trachea over the AIC. In this patient, the AIC provided an effective alternative to other methods for intubating through a regular LMA.
ISSN:0832-610X
1496-8975
DOI:10.1007/BF03015778