title: [Nasotracheal intubation using a fiberscope with a 32Fr blue line endobroncheal tube in a patient with micrognathism].
abstract: A 61-year-old woman with pulmonary lymphangioleiomyomatosis was scheduled for video-assisted thoracoscopic surgery for partial resection of the lung. The patient had micrognathism and a recent history of difficult airway management [difficult mask ventilation and intubation (Cormak grade III)]. On induction, mask ventilation was accomplished with the use of nasal airway. We initially inserted Airtraq laryngoscope and gained a view of Cormak grade III. Therefore, a 32 Fr left-sided Blue Line endobroncheal tube was nasotracheally intubated using a fiberscope (3.1-mm diameter). Nasotracheal intubation with a 32F Blue Line endobroncheal tube can be a choice for patients with difficult airway when one lung ventilation is required.
authors.affiliation: Department of Anesthesiology, Kyorin University Faculty of Medicine, Tokyo 181-8611.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Moriyama
authors.forename: Yoshi
authors.initials: Y
authors.lastname: Misonoo
authors.forename: Atsuko
authors.initials: A
authors.lastname: Kimura
authors.forename: Kumi
authors.initials: K
authors.lastname: Moriyama
authors.forename: Kyoko
authors.initials: K
authors.lastname: Kusumoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yasuda
authors.forename: Tomoko
authors.initials: T
authors.lastname: Yorozu
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Iwao
mesh_terms: D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008175:Lung Neoplasms / Q000601:surgery; D018192:Lymphangioleiomyomatosis / Q000601:surgery; D008844:Micrognathism / Q000150:complications*; D008875:Middle Aged; D011013:Pneumonectomy; D020775:Thoracic Surgery, Video-Assisted