JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

Anesth Analg 2008; 106:1501-1504
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e31816f22f6
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Google Scholar
Right arrow Articles by Michalek, P.
Right arrow Articles by Donaldson, W.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Michalek, P.
Right arrow Articles by Donaldson, W.
Related Collections
Right arrow Patient Safety
Right arrow Technology
Right arrow Airway

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.






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.