Unilateral vocal cord palsy occurred after difficult endotracheal intubation using intubating laryngeal mask airway: A case report.
10.4097/kjae.2009.56.2.200
- Author:
Cheol Sin MUN
1
;
Hyung Tae KIM
;
Hyeon eon HEO
;
Jun hak LEE
;
Young eun KWON
Author Information
1. Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. ingwei@nate.com
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Hoarseness;
Intubating laryngeal mask airway;
Laryngeal mask airway;
Vocal cord palsy
- MeSH:
Aged;
Airway Extubation;
Airway Management;
Anesthesia, General;
Epiglottis;
Female;
Gynecologic Surgical Procedures;
Hoarseness;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngeal Masks;
Laryngoscopes;
Laryngoscopy;
Masks;
Muscles;
Oxygen;
Ventilation;
Vocal Cord Paralysis;
Vocal Cords
- From:Korean Journal of Anesthesiology
2009;56(2):200-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Airway management is important during general anesthesia. Difficulties with a direct laryngoscopy can be managed successfully in a routine manner using a laryngeal mask airway. A 65-year-old woman was scheduled to undergo gynecologic surgery. After injecting the intravenous induction agents and muscle relaxants, intubation was attempted with a direct laryngoscope. However, the vocal cords could not be observed with only the epiglottis being slightly visible. Although intubation was re-attempted by another anesthesiologist, it failed. Intubation was successfully performed via an intubating laryngeal mask airway (ILMA) after additional 100% oxygen mask ventilation. We report a case of vocal cord palsy subsequent to tracheal extubation after endotracheal intubation via ILMA.
