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Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope
When anesthesiologists encounter conditions in which intubation is not possible using a conventional direct laryngoscope, they can consider using other available techniques and devices such as fiber optic bronchoscope (FOB)-guided intubation, a laryngeal mask airway (LMA), intubating LMA (ILMA), a l...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Dental Society of Anesthsiology
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564175/ https://www.ncbi.nlm.nih.gov/pubmed/28879276 http://dx.doi.org/10.17245/jdapm.2015.15.3.167 |
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author | Kim, Jin-Sun Seo, Dong-Kyun Lee, Chang-Joon Jung, Hwa-Sung Kim, Seong-Su |
author_facet | Kim, Jin-Sun Seo, Dong-Kyun Lee, Chang-Joon Jung, Hwa-Sung Kim, Seong-Su |
author_sort | Kim, Jin-Sun |
collection | PubMed |
description | When anesthesiologists encounter conditions in which intubation is not possible using a conventional direct laryngoscope, they can consider using other available techniques and devices such as fiber optic bronchoscope (FOB)-guided intubation, a laryngeal mask airway (LMA), intubating LMA (ILMA), a light wand, and the Combitube. FOB-guided intubation is frequently utilized in predicted difficult airway cases and is generally performed when the patient is awake to enable easier access to the trachea. An LMA can be introduced to ventilate the patient with relative ease, while an ILMA can be used for definite endotracheal intubation. However, occasionally, an endotracheal tube (ETT) cannot pass through the larynx, despite successful introduction of a FOB into the trachea and placement of an ILMA by the anesthesiologist. Therefore, we initially introduced an ILMA for emergent ventilation, followed by successful insertion of an ETT under FOB guidance. In this report, we describe three cases of difficult intubation using a FOB and ILMA combination approach. |
format | Online Article Text |
id | pubmed-5564175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Dental Society of Anesthsiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-55641752017-09-06 Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope Kim, Jin-Sun Seo, Dong-Kyun Lee, Chang-Joon Jung, Hwa-Sung Kim, Seong-Su J Dent Anesth Pain Med Case Report When anesthesiologists encounter conditions in which intubation is not possible using a conventional direct laryngoscope, they can consider using other available techniques and devices such as fiber optic bronchoscope (FOB)-guided intubation, a laryngeal mask airway (LMA), intubating LMA (ILMA), a light wand, and the Combitube. FOB-guided intubation is frequently utilized in predicted difficult airway cases and is generally performed when the patient is awake to enable easier access to the trachea. An LMA can be introduced to ventilate the patient with relative ease, while an ILMA can be used for definite endotracheal intubation. However, occasionally, an endotracheal tube (ETT) cannot pass through the larynx, despite successful introduction of a FOB into the trachea and placement of an ILMA by the anesthesiologist. Therefore, we initially introduced an ILMA for emergent ventilation, followed by successful insertion of an ETT under FOB guidance. In this report, we describe three cases of difficult intubation using a FOB and ILMA combination approach. The Korean Dental Society of Anesthsiology 2015-09 2015-09-30 /pmc/articles/PMC5564175/ /pubmed/28879276 http://dx.doi.org/10.17245/jdapm.2015.15.3.167 Text en Copyright © 2015 Journal of Dental Anesthesia and Pain Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Jin-Sun Seo, Dong-Kyun Lee, Chang-Joon Jung, Hwa-Sung Kim, Seong-Su Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title | Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title_full | Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title_fullStr | Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title_full_unstemmed | Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title_short | Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
title_sort | difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564175/ https://www.ncbi.nlm.nih.gov/pubmed/28879276 http://dx.doi.org/10.17245/jdapm.2015.15.3.167 |
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