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Anesth Analg 2008; 106:1501-1504
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e31816f22f6
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PATIENT SAFETY

Fiberoptic Intubation Through an I-Gel Supraglottic Airway in Two Patients with Predicted Difficult Airway and Intellectual Disability

Pavel Michalek, MD, PhD, Philip Hodgkinson, MBBS, FCARCSI, and William Donaldson, MBBS, FRCA

From the Department of Anaesthetics, Antrim Area Hospital, Antrim, United Kingdom/Northern Ireland.

Address correspondence and reprint requests to Pavel Michalek, MD, PhD, Consultant Anaesthetist, Antrim Area Hospital, 45 Bush Rd, BT412RL, Antrim, United Kingdom/Northern Ireland. Address e-mail to pafkamich{at}yahoo.co.uk.

Abstract

We describe successful fiberoptic-guided tracheal intubation through the novel supraglottic "I-gel" airway in two uncooperative adult patients with genetic syndromes, learning disability, and predicted difficult airway, scheduled for complex dental treatment under general anesthesia. The I-gel maintained the airway immediately after induction, allowing oxygenation and ventilation. Location of the laryngeal inlet was successful on the first attempt with a fiberscope, and the tracheal tube was inserted into the trachea over the endoscope without complication in both patients. This report suggests another option for management of predicted difficult airways.




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V. Uppal, G. Fletcher, and J. Kinsella
Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation
Br. J. Anaesth., February 1, 2009; 102(2): 264 - 268.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.