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PATIENT SAFETY

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

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]