Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope
김진선, 서동균, 이창준, 정화성, 김성수,
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김진선 ( Kim Jin-Sun ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
서동균 ( Seo Dong-Kyun ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
이창준 ( Lee Chang-Joon ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
정화성 ( Jung Hwa-Sung ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
김성수 ( Kim Seong-Su ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
KMID : 0980320150150030167
Abstract
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.
키워드
Bronchoscope; Intubation; LMA
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