[The intubating laryngeal mask for a patient with cerebrospinal fluid rhinorrhea and pneumocephalus].
A 53-year-old male was scheduled for repairs of cerebrospinal fluid (CSF) rhinorrhea and pneumocephalus under general anesthesia. He had undergone a neck clipping for a ruptured anterior communicating aneurysm 13 days before. As he had a difficult airway, Trachlight was used for successful tracheal intubation. To avoid tension pneumocephalus, an intubating laryngeal mask (ILM) was inserted with rapid sequence induction without positive pressure ventilation. A 7.0 mm ID straight silicone reinforced tube was then inserted through the ILM using a fiberscope. A fiberscope guided tracheal intubation via the ILM is recommended for patients with CSF rhinorrhea and pneumocephalus especially when the trachea is difficult to intubate under direct laryngoscopy.
Noguchi
Takashi
T
Department of Anesthesiology, Chikuho-Rosai Hospital, Fukuoka 820-0088.
Shiga
Yousuke
Y
Koga
Kazunori
K
D000768:Anesthesia, General; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000209:etiology; D011183:Postoperative Complications