Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report
A 28-year-old male patient with occipito-atlanto-axial instability underwent a cervical fusion with posterior technique. Post-operatively, the endotracheal tube (ETT) was removed, and the patient was transferred to the intensive care unit. After transfer, an upper airway obstruction developed and re...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2014-03-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-66-237.pdf |
| _version_ | 1818135064375984128 |
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| author | Joon Kyung Sung Hyung Gon Kim Jung Eun Kim Myung-Soo Jang Jong-Man Kang |
| author_facet | Joon Kyung Sung Hyung Gon Kim Jung Eun Kim Myung-Soo Jang Jong-Man Kang |
| author_sort | Joon Kyung Sung |
| collection | DOAJ |
| description | A 28-year-old male patient with occipito-atlanto-axial instability underwent a cervical fusion with posterior technique. Post-operatively, the endotracheal tube (ETT) was removed, and the patient was transferred to the intensive care unit. After transfer, an upper airway obstruction developed and reintubations with a laryngoscope were attempted but failed. We inserted a #4 proseal laryngeal mask airway (LMA) and passed a 5.0 mm ETT through the LMA with the aid of a fiberoptic bronchoscope. We passed a tube exchanger through the 5.0 mm ETT and exchanged it with a 7.5 mm ETT. This method may be a useful alternative for difficult tracheal intubations. |
| first_indexed | 2024-12-11T09:18:34Z |
| format | Article |
| id | doaj.art-7b44a12a403c47bbbe6a61b991d12241 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-11T09:18:34Z |
| publishDate | 2014-03-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-7b44a12a403c47bbbe6a61b991d122412022-12-22T01:13:18ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-03-0166323723910.4097/kjae.2014.66.3.2377836Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case reportJoon Kyung Sung0Hyung Gon Kim1Jung Eun Kim2Myung-Soo Jang3Jong-Man Kang4Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee Medical University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee Medical University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea.A 28-year-old male patient with occipito-atlanto-axial instability underwent a cervical fusion with posterior technique. Post-operatively, the endotracheal tube (ETT) was removed, and the patient was transferred to the intensive care unit. After transfer, an upper airway obstruction developed and reintubations with a laryngoscope were attempted but failed. We inserted a #4 proseal laryngeal mask airway (LMA) and passed a 5.0 mm ETT through the LMA with the aid of a fiberoptic bronchoscope. We passed a tube exchanger through the 5.0 mm ETT and exchanged it with a 7.5 mm ETT. This method may be a useful alternative for difficult tracheal intubations.http://ekja.org/upload/pdf/kjae-66-237.pdfairway obstructionbronchoscopescervical vertebraelaryngeal masksspinal fusiontube exchanger |
| spellingShingle | Joon Kyung Sung Hyung Gon Kim Jung Eun Kim Myung-Soo Jang Jong-Man Kang Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report Korean Journal of Anesthesiology airway obstruction bronchoscopes cervical vertebrae laryngeal masks spinal fusion tube exchanger |
| title | Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report |
| title_full | Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report |
| title_fullStr | Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report |
| title_full_unstemmed | Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report |
| title_short | Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report |
| title_sort | endotracheal tube intubation with the aid of a laryngeal mask airway a fiberoptic bronchoscope and a tube exchanger in a difficult airway patient a case report |
| topic | airway obstruction bronchoscopes cervical vertebrae laryngeal masks spinal fusion tube exchanger |
| url | http://ekja.org/upload/pdf/kjae-66-237.pdf |
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