Difficult intubation of a child through laryngeal mask airway with two tracheal tubes

Tanil Kendiirli, Erdal Ince, Asli Kavaz, Ergin Çiftçi, Zekeriya Alanoǧlu, Ülker Doǧru

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Difficult tracheal intubation occurs infrequently. It is estimated that difficult laryngoscopy occurs in 1-2% of patients. Tracheal intubation of especially small infants can be challenging. When faced with a difficult airway, intubation through a laryngeal mask airway is one method of obtaining a secure airway. Here, we report a 23-mo-old girl with chronic lung disease and severe pneumonia, who was admitted to our paediatric intensive care unit. Since the patient could not be intubated by the standard method, because her larynx was up and forward, she was intubated successfully with a laryngeal mask airway through which two consecutive tracheal tubes were inserted. Conclusion: Laryngeal mask airway has an important role as a back-up device in case direct visualization of the larynx is not possible.

Original languageEnglish
Pages (from-to)1688-1690
Number of pages3
JournalActa Paediatrica, International Journal of Paediatrics
Volume95
Issue number12
DOIs
StatePublished - Dec 1 2006
Externally publishedYes

Keywords

  • Children
  • Difficult airway
  • Intubation
  • Laryngeal mask airway

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