Retrograde Intubation in Patients with Severe Cervical Ankylosing Spondylitis: A Laryngeal Mask Airway (LMA) Combined Technique.
- Author:
Jae Woo KIM
1
;
Duck Ho JUN
;
Ho Jung KIM
Author Information
1. Department of Emergency Medicine, College of Medicine, Cheonan Hospital of Soonchunhyang University, Korea.
- Publication Type:Case Report
- Keywords:
Retrograde;
Intubation;
Cervical;
Ankylosis;
Difficult
- MeSH:
Ankylosis;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngeal Masks;
Laryngoscopy;
Male;
Membranes;
Middle Aged;
Polyvinyl Chloride;
Punctures;
Surgical Instruments;
Ventilation
- From:Journal of the Korean Society of Emergency Medicine
2012;23(3):427-429
- CountryRepublic of Korea
- Language:English
-
Abstract:
Occurrence of cervical spineankylosis is rare, and intubation of patients with this condition can be difficult, particularly when fiberoptic laryngoscopy is not available. We performed successful endotracheal intubation in a 64-year-old male patient using a 7-mm cuffed polyvinyl chloride (PVC) tube with the help of a laryngeal mask airway (LMA). The LMA was initially used for rapid ventilation of the patient, and the guide wire was passed into the airway from the site of puncture of the cricothyroid membrane. This wire was easily observed in the LMA tube, and the use of long forceps was not required.
