Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report

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 tub...

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Main Authors: Sang Gyun Kim, Hyun Kim, Jong Chul Son, Ji-Hyang Lee, Jihyun An, Eunju Kim
Format: Article
Language:English
Published: Kosin University College of Medicine 2018-12-01
Series:Kosin Medical Journal
Subjects:
Online Access:http://www.kosinmedj.org/upload/pdf/ksmc033-02-16.pdf
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author Sang Gyun Kim
Hyun Kim
Jong Chul Son
Ji-Hyang Lee
Jihyun An
Eunju Kim
author_facet Sang Gyun Kim
Hyun Kim
Jong Chul Son
Ji-Hyang Lee
Jihyun An
Eunju Kim
author_sort Sang Gyun Kim
collection DOAJ
description 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.
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spelling doaj.art-8d44d48fe4f04b22aa997ced088c0eed2022-12-22T03:56:22ZengKosin University College of MedicineKosin Medical Journal2005-95312018-12-0133225225610.7180/kmj.2018.33.2.25262Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case reportSang Gyun Kim0Hyun Kim1Jong Chul Son2Ji-Hyang Lee3Jihyun An4Eunju Kim5Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaDepartment of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaDepartment of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaDepartment of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaDepartment of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaDepartment of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, .KoreaWe 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.http://www.kosinmedj.org/upload/pdf/ksmc033-02-16.pdfdifficult intubationlaryngeal mask airwaytracheobronchopathia osteochondroplastica
spellingShingle Sang Gyun Kim
Hyun Kim
Jong Chul Son
Ji-Hyang Lee
Jihyun An
Eunju Kim
Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
Kosin Medical Journal
difficult intubation
laryngeal mask airway
tracheobronchopathia osteochondroplastica
title Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
title_full Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
title_fullStr Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
title_full_unstemmed Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
title_short Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report
title_sort use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica case report
topic difficult intubation
laryngeal mask airway
tracheobronchopathia osteochondroplastica
url http://www.kosinmedj.org/upload/pdf/ksmc033-02-16.pdf
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