title: Use of the Laryngeal Mask Airway-Aintree Intubating Catheter-fiberoptic bronchoscope technique for difficult intubation.
abstract: OBJECTIVE
  To determine whether intubation using an Aintree Intubation Catheter (AIC), fiberoptic intubation (FOB), and Laryngeal Mask Airway (LMA) is safe and effective for securing the airway in patients who are difficult to intubate after induction of general anesthesia.
  
  
  METHODS
  Retrospective review of departmental difficult airway database procedures completed between July 2006 and December 2009.
  
  
  METHODS
  Academic medical center.
  
  
  RESULTS
  During the study period, 128 of 500 patients entered into the difficult airway database underwent the LMA-AIC-FOB technique for intubation. One hundred nineteen (93%) of the 128 patients were successfully intubated by the LMA-AIC-FOB technique, and 9 required an alternate technique. No patient who underwent the LMA-AIC-FOB technique experienced an airway-related mortality or required an emergency surgical airway procedure.
  
  
  CONCLUSIONS
  The LMA-AIC-FOB technique is safe and effective for patients who are difficult to intubate after induction of anesthesia.
authors: Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. lberkow1@jhmi.edu
authors: Lauren C
authors: LC
authors: Berkow
authors: Jamie M
authors: JM
authors: Schwartz
authors: Kristin
authors: K
authors: Kan
authors: Marco
authors: M
authors: Corridore
authors: Eugenie S
authors: ES
authors: Heitmiller
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods*; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000009:adverse effects / Q000379:methods*; D002404:Catheterization / Q000009:adverse effects / Q000379:methods; D016208:Databases, Factual; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult