Soonchunhyang Med Sci.  2020 Dec;26(2):75-79. 10.15746/sms.20.019.

Successful Endotracheal Intubation Using Suction-Assisted Laryngoscopy Assisted Decontamination Technique and a Head-Down Tilt Position during Massive Regurgitation

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Korea Cancer Center Hospital, Seoul, Korea

Abstract

Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.

Keyword

Airway management; Decontamination; Head-down tilt; Regurgitation
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