title: Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability.
abstract: We describe successful fiberoptic-guided tracheal intubation through the novel supraglottic "I-gel" airway in two uncooperative adult patients with genetic syndromes, learning disability, and predicted difficult airway, scheduled for complex dental treatment under general anesthesia. The I-gel maintained the airway immediately after induction, allowing oxygenation and ventilation. Location of the laryngeal inlet was successful on the first attempt with a fiberscope, and the tracheal tube was inserted into the trachea over the endoscope without complication in both patients. This report suggests another option for management of predicted difficult airways.
authors.affiliation: Department of Anaesthetics, Antrim Area Hospital, 45 Bush Rd, BT412RL, Antrim, United Kingdom/Northern Ireland. pafkamich@yahoo.co.uk
authors.forename: Pavel
authors.initials: P
authors.lastname: Michalek
authors.forename: Philip
authors.initials: P
authors.lastname: Hodgkinson
authors.forename: William
authors.initials: W
authors.lastname: Donaldson
mesh_terms: D000278:Administration, Buccal; D000328:Adult; D000768:Anesthesia, General; D004867:Equipment Design; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D007859:Learning Disabilities; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D016532:Mucopolysaccharidosis II / Q000523:psychology*; D019647:Oral Surgical Procedures; D010349:Patient Compliance; D014849:Waardenburg Syndrome / Q000523:psychology*
chemical_list: D006993:Hypnotics and Sedatives; D008874:Midazolam