title: Tracheal Intubation with Aura-i and aScope-2: How to Minimize Apnea Time in an Unpredicted Difficult Airway.
abstract: The supraglottic airway's usefulness as a dedicated airway is the subject of continuing development. We report the case of an obese patient with unpredicted difficult airway management in which a new "continuous ventilation technique" was used with the Aura-i laryngeal mask and the aScope-2 devices. The aScope-2/Aura-i system implemented airway devices for the management of predictable/unpredictable difficult airway. The original technique required the disconnection of the mount catheter from Aura-i, the introduction of the aScope-2 into the laryngeal mask used as a conduit for video assisted intubation and then towards the trachea, followed by a railroading of the tracheal tube over the aScope-2. This variation in the technique guarantees mechanical ventilation during the entire procedure and could prevent the risk of hypoventilation and/or hypoxia.
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Vittorio
authors: V
authors: Pavoni
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Valentina
authors: 0000-0003-2548-8762
authors: V
authors: Froio
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Alessandra
authors: A
authors: Nella
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Martina
authors: M
authors: Simonelli
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Lara
authors: L
authors: Gianesello
authors: Faculty Practice Group, University of California, Los Angeles, CA 90095, USA.
authors: Andrew
authors: A
authors: Horton
authors: Ambu Srl, Via Paracelso 18, Agrate Brianza, 20041 Milano, Italy.
authors: Luca
authors: L
authors: Malino
authors: Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors: Massimo
authors: 0000-0002-8311-1050
authors: M
authors: Micaglio
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