Korean J Anesthesiol.  2001 Nov;41(5):652-655. 10.4097/kjae.2001.41.5.652.

A Successful Tracheostomy under General Anesthesia with Blind Intubation via ILMA in a Sitting Position

Affiliations
  • 1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea. hKKil@yumc.yonsei.ac.kr
  • 2Department of Anesthesiology, College of Medicine, Pocheon Jungmun University, Seongnam, Korea.

Abstract

The intubating laryngeal masK airway is a newly available device designed to allow for blind endotracheal intubation and treatment of patients with difficult airways. Emergency tracheostomies are required for oropharyngeal, hypopharyngeal, and laryngeal tumors acutely obstructing the airway. Patients with an airway obstructive tumor maintain their airway by a very active inspiratory effort in a sitting position. In these patients, it may be impossible to position them for a tracheostomy with shoulder extension. We report a case where a patient was tracheostomized successfully under general anesthesia with blind intubation via ILMA insertion in a sitting position.

Keyword

Airway: intubating laryngeal mask airway; tracheostomy; Anesthetics, intravenous: propofol

MeSH Terms

Anesthesia, General*
Emergencies
Equipment Design
Humans
Intubation*
Intubation, Intratracheal
Laryngeal Masks
Shoulder
Tracheostomy*
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