Korean J Anesthesiol.  1993 Oct;26(5):1029-1034. 10.4097/kjae.1993.26.5.1029.

Endotracheal Intubation with Laryngeal Mask Airway and Fiberoptic Bronchoscope

• Jun JH
• Seung IS
• Cho SY
• Suh JK

• KMID: 1690061
• DOI: http://doi.org/10.4097/kjae.1993.26.5.1029

Abstract

It is easy to view the laryngeal aperature with a flexible fiberscope through a laryngeal mask airway (LMA). This is a case report that the LMA could facilitate a fiberscope-aided tracheal intubation easily. Patient was a 59 year old female who had some limitation of mouth opening due to ankylosis of bilateral temporomandibular joints. After thiopental (200 mg) and succinylcholine chloride (50 mg) were given intravenously, a number 3 sized LMA was inserted and the lungs were ventilated via the LMA. The anesthesia cirele system is then disconnected from the LMA and a fiberscope, with the proximal end jacketed with a well-lubricated, cuffless, 6-mm-ID endotracheal tube (ETT); was inserted into the trachea through the lumen of the LMA. The 6-mm-ID ETT was threaded over the fiberscope into the trachea before fiberscope was withdrawn, and a traeheal tube exchanger was inserted through the ETT after enough ventilation for a while, followed withdrawal of the LMA and ETT. Finally, we can make the 7 mm-ID ETT with cuff insert into the trachea over a tracheal tube exchanger very easily without any difficulties.

Keyword

Anesthetic techniques; fiberoptic tracheal intubation; Equipment; laryngeal mask airway

MeSH Terms

Anesthesia
Ankylosis
Bronchoscopes*
Female
Humans
Intubation
Intubation, Intratracheal*
Laryngeal Masks*
Lung
Middle Aged
Mouth
Succinylcholine
Temporomandibular Joint
Thiopental
Trachea
Ventilation
Succinylcholine
Thiopental