Nasogastric tube aided fiberoptic intubation through laryngeal mask airway (case report).
Burn scars in early childhood often impairs normal development of the structures of the face. Multiple reconstructive interventions contribute to airway deformity with excessive scar and contracture band formation. Such patients are the most difficult group because of the risk of difficult ventilation and intubation in anesthesiology practice. Although developments in complex airway management techniques are increased, solutions may be achieved with simple approaches. For this purpose, we report about a patient with an anticipated difficult airway who has rejected awake fiberoptic intubation. The patient was managed successfully using classical laryngeal mask airway and nasogastric tube with the guidance of fiberoptic bronchoscope under deep sedation.
Sizlan
A
A
Department of Anesthesiology and Reanimation, Gülhane Military Medical Faculty, Ankara, Turkey.
Ozhan
M O
MO
Cekmen
N
N
Suzer
M A
MA
Orhan
M E
ME
Comak
I
I
Sahin
S
S
Sahin
I
I
D000293:Adolescent; D001999:Bronchoscopy; D002056:Burns / Q000473:pathology; D002921:Cicatrix / Q000150:complications* / Q000473:pathology; D054810:Deep Sedation; D006801:Humans; D007441:Intubation, Gastrointestinal; D007442:Intubation, Intratracheal / Q000379:methods*; D017214:Laryngeal Masks; D008046:Lip / Q000601:surgery; D008297:Male; D055100:Optical Fibers; D019651:Plastic Surgery Procedures