Combined use of a McGrath(R) MAC video laryngoscope and Frova Intubating Introducer in a patient with Pierre Robin syndrome: a case report.
10.4097/kjae.2014.66.4.310
- Author:
Yongsuk KIM
1
;
Jeong Eun KIM
;
Da Hye JEONG
;
Jaemin LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. jmlee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Airway management;
Laryngoscope;
Intubation;
Pierre Robine syndrome
- MeSH:
Airway Management;
Glottis;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngoscopes*;
Pierre Robin Syndrome*;
Railroads;
Retrognathia;
Vocal Cords
- From:Korean Journal of Anesthesiology
2014;66(4):310-313
- CountryRepublic of Korea
- Language:English
-
Abstract:
Patients with Pierre Robin syndrome are characterized by micrognathia, retrognathia, glossoptosis, and respiratory obstruction and are prone to have a difficult-to-intubate airway. The McGrath(R) MAC video laryngoscope provides a better view of the glottis than a Macintosh laryngoscope, but it is not easy to insert an endotracheal tube through the vocal cords because a video laryngoscope has a much greater curvature than that of a conventional direct laryngoscope and an endotracheal tube has a different curvature. The Frova Intubating Introducer is used as a railroad for an endotracheal tube in cases of a difficult airway. We thought that a combination of these two devices would make it easy to insert an endotracheal tube through the vocal cords, as a McGrath(R) MAC video laryngoscope provides a better glottic view and the Frova Intubating Introducer is a useful device for placing an endotracheal tube through the glottis. We report a successful endotracheal intubation with use of the McGrath(R) MAC video laryngoscope and Frova Intubating Introducer in a patient with Pierre Robin syndrome.