title: [Combined use of the GlideScope and fiberoptic bronchoscope for tracheal intubation in a patient with difficult airway].
abstract: We report a case of successful tracheal intubation of a double-lumen tube with combined use of a videolaryngoscope (GlideScope) and a fiberoptic bronchoscope, in a patient with difficult airway, in whom intubation using the GlideScope had failed. A 71-year-old man with lung cancer was scheduled for the middle lobe lobectomy under general anesthesia. Anesthesia was induced with propofol, fentanyl and sevoflurane, and after confirmation of adequate ventilation through a facemask, rocuronium was given. The GlideScope was inserted at first, but it was difficult to see the glottis (Cormack-Lehane classification III) and tracheal intubation of a 37 Fr double-lumen tube failed. While the GlideScope was in place to obtain a view near the glottis, a fiberoptic bronchoscope (passed through the double-lumen tube) was insertd into the trachea, and the tube was passed over the scope into the trachea. We believe that, when tracheal intubation of a double-lumen tube using a videolaryngoscope or fiberoptic bronchoscope is difficult, their combined use may be useful in a patient with difficult airway.
authors: Takero
authors: T
authors: Ara
authors: Gakushi
authors: G
authors: Mori
authors: Eriko
authors: E
authors: Adachi
authors: Takashi
authors: T
authors: Asai
authors: Yasuhisa
authors: Y
authors: Okuda
mesh_terms: D000368:Aged; D020680:Bronchoscopes; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D020704:Laryngoscopes; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D011013:Pneumonectomy; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation / Q000379:methods