[A method of tracheal intubation tried in a patient with multicentric reticulohistiocytosis].
A 48-year-old woman had suffered from multiple destructive arthritis, skin nodules and skin ulcer of bilateral legs caused by multicentric reticulohistiocytosis for 16 years. Skin transplantation and total hip joint replacement were scheduled. Tracheal intubation was anticipated to be difficult because of destructive arthritis of the temporomandibular joint. We tried a new method to intubate the trachea through a laryngeal mask. After topical application of 8% lidocaine to the oropharynx, a size 4 laryngeal mask was inserted and its cuff was inflated by 20 ml of air. Anesthesia was induced with 4% sevoflurane in 50% nitrous oxide via laryngeal mask. A fiberscope through a tracheal tube was inserted through the laryngeal mask into the trachea. A tracheal tube with the internal diameter of 6.5 mm, was successfully intubated. This method gave little discomfort to the patient.
Fukuda
H
H
Department of Anesthesiology, Jichi Medical School, Tochigi.
Ishii
R
R
Shimizu
R
R
Motegi
R
R
Saitou
K
K
Akazawa
S
S
D005260:Female; D006622:Hip Prosthesis; D015616:Histiocytosis, Non-Langerhans-Cell / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008875:Middle Aged; D016038:Skin Transplantation