title: [Successful Awake Nasal Endotracheal Intubation with the McGrath Videolaryngoscope and a Soft-tipped Extra Firm Exchange Catheter in a Patient with a Necrotic Mandible].
abstract: Here we report a case of successful awake nasal intubation with the McGrath videolaryngscope (McGrath) in conjunction with a soft-tipped extra firm exchange catheter in a patient with a necrotic mandible developing a hole. An 81-year-old woman underwent partial tongue resection and cervical lymph node dissection. After additional radiation therapy, she developed a necrotic mandible with a hole from the oral cavity to the neck region. She was scheduled for resection of the necrotic mandible under general anesthesia. Upon sedation with dexmedetomidine 1.0 μg xkg-(1 )-xhr-(1 )and applying topical anesthesia with lido-aine, we inserted the McGrath orally and the soft- ipped extra firm tube exchange catheter (TE) nasally. Under the guide of the McGrath's monitor, we inserted the TE, using Magill forceps, into her trachea. A 6.0 mm internal diameter spiral tracheal tube was inserted via the TE uneventfully.
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Sayuri
authors.initials: S
authors.lastname: Matsunami
authors.forename: Kenta
authors.initials: K
authors.lastname: Nakao
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Minami
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D020704:Laryngoscopes; D008336:Mandibular Diseases / Q000473:pathology / Q000601:surgery*; D009336:Necrosis / Q000601:surgery; D014851:Wakefulness