Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report.
10.7180/kmj.2018.33.2.252
- Author:
Sang Gyun KIM
1
;
Hyun KIM
;
Jong Chul SON
;
Ji Hyang LEE
;
Jihyun AN
;
Eunju KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. anji0323@gmail.com
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Laryngeal mask airway;
Tracheobronchopathia osteochondroplastica
- MeSH:
Aged;
Anesthesia, General;
Biopsy;
Bronchi;
Bronchoscopy;
Decompression;
Ganglion Cysts;
Humans;
Intubation;
Intubation, Intratracheal*;
Laryngeal Masks*;
Trachea;
Ulnar Nerve;
Vocal Cords
- From:Kosin Medical Journal
2018;33(2):252-256
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of difficult endotracheal intubation in a patient with tracheobronchopathia osteochondroplastica. A 65-year-old man was scheduled to undergo ulnar nerve decompression and ganglion excisional biopsy under general anesthesia. During induction of general anesthesia, an endotracheal tube could not be advanced through the vocal cords due to resistance. A large number of nodules were identified below the vocal cords using a Glidescope® video-laryngoscopy, and fiberoptic bronchoscopy revealed irregular nodules on the surface of the entire trachea and the main bronchus below the vocal cords. Use of a small endotracheal tube was attempted and failed. a laryngeal mask airway (LMA Supreme ™) rather than further intubation was successfully used to maintain the airway.
