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An alternative method to intubate with laryngeal mask and see‐through‐bougie
Author(s) -
Hammarskjöld F.,
Lindskog G.,
Blomqvist P.
Publication year - 1999
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.1999.430607.x
Subject(s) - medicine , intubation , laryngeal mask airway , laryngeal masks , airway , anesthesia , tracheal tube , tracheal intubation , larynx , surgery , mascara , bronchoscopy
Background: Different ways of managing the difficult airway is an important issue for the anaesthetist. We have investigated a technique with a see‐through‐bougie and laryngeal mask for intubation. Methods: We report our experience with intubation of 30 patients using a see‐through‐bougie guided through a laryngeal mask with a fibreoptic bronchoscope. The bougie is then used as a guidance for a tracheal tube. Results: In 29 of the 30 investigated patients, this method could be used. In one patient the method had to be abandoned because of a tortuous trachea. Seventeen patients were intubated within 2 min, 11 between 2 and 5 min and 1 required 10 min. The time was mainly dependent on the endoscopic experience of the anaesthetist. No patient sustained arterial desaturation. Conclusion: We conclude that intubation using a see‐through‐bougie and a laryngeal mask is a valuable method in the difficult intubation situation, when a temporary airway can be achieved with laryngeal mask, since it permits continuous ventilation and visual control throughout the procedure.