title: Successful tracheal intubation using fiberoptic bronchoscope via an I-gel™ supraglottic airway in a pediatric patient with Goldenhar syndrome -A case report-.
abstract: The I-gel™ is a single-use supraglottic airway device introduced in 2007 which features a non-inflatable cuff and allows passage of a tracheal tube owing to its large diameter and short length of the airway tube. In this case, the authors experienced a difficult airway management on a 4-year-old boy with underlying Goldenhar syndrome who underwent a tonsillectomy. Intubation using a laryngoscope was unsuccessful at the first attempt. In the following attempt, we used the I-gel™ supraglottic airway for ventilation and were able to achieve successful intubation with a cuffed tube by using fiberoptic bronchoscope through the I-gel™ supraglottic airway. The authors suggest that I-gel™ is a useful device for ventilation and it has many advantages for tracheal intubation in pediatric patients with difficult airway.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
authors.forename: Young-Lok
authors.initials: YL
authors.lastname: Kim
authors.forename: Da-Mi
authors.initials: DM
authors.lastname: Seo
authors.forename: Kwang-Seok
authors.initials: KS
authors.lastname: Shim
authors.forename: Eun-Ju
authors.initials: EJ
authors.lastname: Kim
authors.forename: Ji-Hyang
authors.initials: JH
authors.lastname: Lee
authors.forename: Sang-Gon
authors.initials: SG
authors.lastname: Lee
authors.forename: Jong-Seouk
authors.initials: JS
authors.lastname: Ban
keywords: Airway management; Fiberoptic bronchoscope; Goldenhar syndrome; Laryngeal mask airway; Pediatric
references.citation: Paediatr Anaesth. 2008 Aug;18(8):793-4
references.pmid: 18613937
references.citation: Anaesth Intensive Care. 1994 Apr;22(2):194-7
references.pmid: 8210026
references.citation: Korean J Anesthesiol. 2012 Mar;62(3):272-6
references.pmid: 22474556
references.citation: Paediatr Anaesth. 2010 May;20(5):454-64
references.pmid: 20337959
references.citation: J Clin Anesth. 2008 May;20(3):214-7
references.pmid: 18502367
references.citation: Paediatr Anaesth. 2005 Jun;15(6):529-30
references.pmid: 15910358
references.citation: Anaesthesia. 2007 Apr;62(4):419-20
references.pmid: 17381591
references.citation: Resuscitation. 2009 Aug;80(8):963
references.pmid: 19520483
references.citation: Am J Dis Child. 1978 Feb;132(2):136-8
references.pmid: 626178
references.citation: Anesthesiology. 2003 May;98(5):1269-77
references.pmid: 12717151
references.citation: Minerva Anestesiol. 2012 Oct;78(10):1169-70
references.pmid: 23059523
references.citation: Anaesthesia. 1990 Jan;45(1):49-52
references.pmid: 2316841
references.citation: Anaesthesist. 2012 Feb;61(2):123-8
references.pmid: 22354398