Endotracheal Intubation with Laryngeal Mask Airway and Fiberoptic Bronchoscope.
10.4097/kjae.1993.26.5.1029
- Author:
Jong Hun JUN
1
;
Ik Sang SEUNG
;
Sang Yoon CHO
;
Jung Kook SUH
Author Information
1. Department of Anesthesiology, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic techniques;
fiberoptic tracheal intubation;
Equipment;
laryngeal mask airway
- MeSH:
Anesthesia;
Ankylosis;
Bronchoscopes*;
Female;
Humans;
Intubation;
Intubation, Intratracheal*;
Laryngeal Masks*;
Lung;
Middle Aged;
Mouth;
Succinylcholine;
Temporomandibular Joint;
Thiopental;
Trachea;
Ventilation
- From:Korean Journal of Anesthesiology
1993;26(5):1029-1034
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It is easy to view the laryngeal aperature with a flexible fiberscope through a laryngeal mask airway (LMA). This is a case report that the LMA could facilitate a fiberscope-aided tracheal intubation easily. Patient was a 59 year old female who had some limitation of mouth opening due to ankylosis of bilateral temporomandibular joints. After thiopental (200 mg) and succinylcholine chloride (50 mg) were given intravenously, a number 3 sized LMA was inserted and the lungs were ventilated via the LMA. The anesthesia cirele system is then disconnected from the LMA and a fiberscope, with the proximal end jacketed with a well-lubricated, cuffless, 6-mm-ID endotracheal tube (ETT); was inserted into the trachea through the lumen of the LMA. The 6-mm-ID ETT was threaded over the fiberscope into the trachea before fiberscope was withdrawn, and a traeheal tube exchanger was inserted through the ETT after enough ventilation for a while, followed withdrawal of the LMA and ETT. Finally, we can make the 7 mm-ID ETT with cuff insert into the trachea over a tracheal tube exchanger very easily without any difficulties.
