TY - JOUR
T1 - Use of the intubating laryngeal mask airway to facilitate awake orotracheal intubation in patients with cervical spine disorders
AU - Wong, Jenson K.
AU - Tongier, W. Kendall
AU - Armbruster, Steven C.
AU - White, Paul F.
PY - 1999/6
Y1 - 1999/6
N2 - Airway management in patients with unstable cervical spines remains a challenge for anesthesia providers. Because neurologic evaluations may be required following tracheal intubation and positioning for the surgical procedure, an awake intubation technique is desirable in this patient population. In this report, we describe the use of an intubating laryngeal mask airway (ILMA) to facilitate awake tracheal intubation in two patients with cervical spine disorders. After topical local analgesia, the ILMA was inserted easily, and a tracheal tube was passed through the glottic opening without complications. Thus, the ILMA may be an acceptable alternative to the fiberoptic bronchoscope for awake tracheal intubation.
AB - Airway management in patients with unstable cervical spines remains a challenge for anesthesia providers. Because neurologic evaluations may be required following tracheal intubation and positioning for the surgical procedure, an awake intubation technique is desirable in this patient population. In this report, we describe the use of an intubating laryngeal mask airway (ILMA) to facilitate awake tracheal intubation in two patients with cervical spine disorders. After topical local analgesia, the ILMA was inserted easily, and a tracheal tube was passed through the glottic opening without complications. Thus, the ILMA may be an acceptable alternative to the fiberoptic bronchoscope for awake tracheal intubation.
KW - Intubation: fiberoptic-assisted, nasotracheal, technique of
KW - Laryngeal mask airway, intubating
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U2 - 10.1016/S0952-8180(99)00052-5
DO - 10.1016/S0952-8180(99)00052-5
M3 - Article
C2 - 10470641
AN - SCOPUS:0032867709
SN - 0952-8180
VL - 11
SP - 346
EP - 348
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
IS - 4
ER -