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Difficult intubation of a child through laryngeal mask airway with two tracheal tubes
Author(s) -
KENDIIRLI TANIL,
INCE ERDAL,
KAVAZ ASLI,
ÇIFTÇI ERGIN,
ALANOĞLU ZEKERIYA,
DOĞRU ÜLKER
Publication year - 2006
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1080/08035250600678802
Subject(s) - medicine , laryngoscopy , larynx , tracheal intubation , intubation , airway , laryngeal mask airway , tracheal tube , anesthesia , laryngeal masks , surgery
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.