Successful use of C-MAC® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant: A case report.
10.17085/apm.2017.12.4.339
- Author:
Bong Jin KANG
1
;
Hyungseok SEO
;
Sun hong LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Pediatrics;
Video laryngoscope
- MeSH:
Constriction, Pathologic;
Humans;
Infant*;
Intubation*;
Laryngoscopes*;
Male;
Oxygen;
Pediatrics
- From:Anesthesia and Pain Medicine
2017;12(4):339-341
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 6-month-old boy was scheduled for a laryngeal mass excision and tracheal bougienage for secondary subglottic stenosis. Following successful excision of the laryngeal mass, a tracheal tube was temporarily extubated for tracheal bougination. However, tracheal re-intubation using a direct laryngoscope with the Miller blade failed because of mucosal swelling and bloody secretions. Following multiple intubation attempts, the patient's peripheral oxygen saturation had decreased to 52%. Immediately, a video laryngoscope was requested, and, by using the C-MAC® video laryngoscope, the patient was successfully re-intubated. Because pediatric patients are more vulnerable to desaturation, extreme caution should be used in securing airways even during a short apneic period. Using a video laryngoscope at the first intubation attempt would be useful for successful tracheal intubation.
