Trachway intubating stylet for tracheal intubation in an ankylosing spondylitis patient undergoing total hip replacement under general anesthesia.
The Trachway is a new device which provides better glottic view than conventional direct laryngoscopy during tracheal intubation. This intubating stylet consists of a camera on the distal tip of the style, with a monitor attached to the rechargeable handle, so that it can overcome the difficulty of limited neck motion and mouth opening in tracheal intubation. We present here a 54-year-old man with ankylosing spondylitis, scheduled to undergo total hip replacement. Pre-operative airway assessment revealed a recognized difficult airway. The Trachway was successfully used for oral tracheal intubation at the first attempt. The Trachway can be an alternative choice for intubation in ankylosing spondylitis patients.
Department of Anesthesiology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC.
Pei-Jiuan
PJ
Tsay
Shou-Wei
SW
Hsu
Hou-Cheng
HC
Peng
Chen-Hua
CH
Wang
Shih-Wei
SW
Lee
Hsien-Yong
HY
Lai
D000768:Anesthesia, General; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D013167:Spondylitis, Ankylosing / Q000150:complications*