Use of the fibreoptic intubating LMA-CTrach in two patients with difficult airways.
We report two patients with difficult airways who underwent tracheal intubation using the new fibreoptic intubating Laryngeal Mask Airway CTrach. The imaging technology of the LMA-CTrach was decisive in the management of these two patients. The first patient had lingual tonsillar hyperplasia, and an omega-shaped retroflexed epiglottis. The second patient had a C2-occipital fusion and was completely unable to extend her head. Given the anatomical difficulties encountered, it was likely that intubation would have been difficult or impossible through the LMA-Fastrach. The aim of this report is to describe the successful use of this new intubating laryngeal mask airway in these two challenging patients.
Goldman
A J
AJ
Department Anaesthesiology, University of Washington Medical Center, Seattle, 98195, USA. agoldman@u.washington.edu
Rosenblatt
W H
WH
D000368:Aged; D002574:Cervical Vertebrae / Q000601:surgery; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D006965:Hyperplasia / Q000150:complications; D007442:Intubation, Intratracheal / Q000379:methods; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D014066:Palatine Tonsil / Q000473:pathology; D013123:Spinal Fusion; D014059:Tongue