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Intubation through a Laryngeal Mask Airway by Fiberoptic Bronchoscope in an Infant with a Mass at the Base of the Tongue: A case report

Authors
 Ji Eun Kim  ;  Chul Ho Chang  ;  Yong-Taek Nam 
Citation
 Korean Journal of Anesthesiology (대한마취과학회지), Vol.54(3) : 43-46, 2008 
Journal Title
 Korean Journal of Anesthesiology (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
2008
Keywords
fiberoptic bronchoscope ; infant ; intubation ; laryngeal mask airway ; thyroglossal duct cyst
Abstract
Failed or difficult tracheal intubation remains an important cause of mortality and morbidity during anesthesia, especially in infants with anatomical or pathological abnormalities of the airway.We report on a 4.1 kg, 85-day-male infant with a thyroglossal duct cyst at the tongue base who could not be conventionally ventilated and intubated in the supine position.The infant was intubated with a 3-mm endotracheal tube through the laryngeal mask airway (LMA) with guidance of a fiberoptic bronchoscope (FOB).However, the pilot balloon did not pass through the 1.5-mm LMA conduit.After cutting the pilot balloon, we removed the LMA and inserted a central venous catheter guide-wire through the endotracheal tube to increase the endotracheal tube to 3.5 mm.This maneuver allowed us to secure the airway without further problems.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Nam, Yong Taek(남용택)
Chang, Chul Ho(장철호) ORCID logo https://orcid.org/0000-0001-5647-8298
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106369
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