title: [Successful intubation in a difficult case using an Ambu Laryngeal Mask Angle Type-i, and the ability to pass a gastric tube behind the laryngeal mask].
abstract: A 71-year-old male was scheduled for a laparoscopic cholecystectomy. The plan was to intubate him using direct laryngoscopy. After induction of anesthesia and analgesia direct laryngoscopy was performed but it was difficult to get a good view of epiglottis, and at 2nd attempt there was laryngeal edema, which made the procedure more difficult. The patient was then ventilated with a facemask and it was decided to intubate him with an Ambu Laryngeal Mask Angle Type-i (Aura-i) and a bronchofiberscope. The procedure worked, and the patient was successfully intubated. We did not want to remove the Aura-i due to concerns about losing the airway. Therefore, we decided to place the gastric tube with the Aura-i still inserted. Therefore the cuff of the Aura-i was deflated and we were able to easily pass a gastric tube behind the Aura-i type easily. After the operation, the patient was extubated from the trachea with the Aura-i still in place. When sufficient respiration returned, the Aura-i was removed. There was no bleeding in the mouth after removal of the Aura-i.
authors.forename: Asako
authors.initials: A
authors.lastname: Tominaga
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ueshima
authors.forename: Jun
authors.initials: J
authors.lastname: Ariyama
authors.forename: Akira
authors.initials: A
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D002763:Cholecystectomy; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007442:Intubation, Intratracheal / Q000379:methods; D017214:Laryngeal Masks; D008297:Male