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PATIENT SAFETY

Failed Tracheal Intubation with the LMA-CTrach^TM in Two Patients with Lingual Tonsil Hyperplasia

From the Anesthesiology Department, Hospital Clínic of Barcelona, University of Barcelona, Barcelona, Spain.

Address correspondence and reprint requests to Ana M. López, MD, PhD, Anesthesiology Department, Hospital Clínic of Barcelona, Villarroel 170, 08036 Barcelona, Spain. Address e-mail to analopez{at}clinic.ub.es.

Abstract

The LMA-CTrach^TM combines the features of the Intubating Laryngeal Mask Airway^TM with a fiberoptic system and a screen for visualization of the airway. Local pathology, such as lingual tonsillar hyperplasia, may obstruct the view of the airway leading to unanticipated difficult intubation. We present two cases of failed intubation with the LMA-CTrach in patients with lingual tonsillar hyperplasia. In both cases, the LMA-CTrach maintained adequate ventilation, giving time to prepare alternative strategies.

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