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

• Choi I
• Choi YW
• Han SH
• Lee JH

• KMID: 2510701
• DOI: http://doi.org/10.15746/sms.20.019

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