Endotracheal intubation using i-gel and a flexible fiber optic bronchoscope: A case report.
- Author:
Hyun Kyoung LIM
1
;
Chun Gil CHOI
;
Helen Ki SHINN
;
Choon Soo LEE
;
Sung Il HWANG
;
Seong Muk LEE
;
Jang Ho SONG
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Inha University, Incheon, Korea. jhs@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Fiberoptic;
Supraglottic airway
- MeSH:
Bays;
Bronchoscopes;
Catheters;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngoscopes;
Oxygen;
Porphyrins;
Trachea;
Ventilation
- From:Anesthesia and Pain Medicine
2012;7(2):147-150
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Most anesthesiologists, at one point or another, are faced with a difficult airway. We came upon an unexpected difficult airway and a failed intubation using a direct laryngoscope and lightwand. At this point, we decided to insert an i-gel which is quick and simple. This allowed us to maintain oxygenation and ventilation. After checking for the location of the laryngeal inlet with a flexible fiber optic bronchoscope, a 5.5 mm internal diameter endotracheal tube was inserted into the trachea over the flexible fiber optic bronchoscope. Finally, a suitable a 7.0 mm internal diameter endotracheal tube was inserted using an exchange catheter technique. With respect to this case, we conclused that the i-gel is a very helpful device for endotracheal intubation in patients with difficult airways.
