Korean J Anesthesiol.  2013 Feb;64(2):168-171. 10.4097/kjae.2013.64.2.168.

Usefulness of a Cook(R) airway exchange catheter in laryngeal mask airway-guided fiberoptic intubation in a neonate with Pierre Robin syndrome: A case report

• Choi EK
• Kim JE
• Soh SR
• Kim CK
• Park WK

• KMID: 1798232
• DOI: http://doi.org/10.4097/kjae.2013.64.2.168

Abstract

The case of a 33-day-old boy with Pierre Robin syndrome using a Cook(R) airway exchange catheter in laryngeal mask airway-guided fiberoptic intubation is presented. After induction with sevoflurane, classical reusable laryngeal mask airway (LMA) #1 was inserted and ultrathin fiberoptic bronchoscope (FOB) was passed through. A Cook(R) airway exchange catheter (1.6 mm ID, 2.7 mm OD) was passed through the LMA under the guidance of the FOB but failed to enter the trachea despite many trials. Then, an endotracheal tube (3.0 mm ID) was mounted on the FOB and railroaded over the FOB. After successful intubation, the Cook(R) airway exchange catheter was placed in the midtrachea through the lumen of the endotracheal tube. Even though the tracheal tube was accidentally displaced out of the trachea during LMA removal, the endotracheal tube could be easily railroaded over the airway exchange catheter.

Keyword

Airway exchange catheter; Fiberoptic intubation; Laryngeal mask airway; Pierre robin syndrome

MeSH Terms

Bronchoscopes
Catheters
Humans
Infant, Newborn
Intubation
Laryngeal Masks
Methyl Ethers
Pierre Robin Syndrome
Railroads
Songbirds
Trachea
Methyl Ethers