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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2012;7(2):147-150.
Published online May 1, 2012.
Endotracheal intubation using i-gel and a flexible fiber optic bronchoscope: A case report
Hyun Kyoung Lim, Chun Gil Choi, Helen Ki Shinn, Choon Soo Lee, Sung Il Hwang, Seong Muk Lee, Jang Ho Song
1Department of Anesthesiology and Pain Medicine, School of Medicine, Inha University, Incheon, Korea. jhs@inha.ac.kr
2Department of Family Medicine, Hallym Hospital, Incheon, Korea.
Abstract
Most anesthesiologists, at one point or another, are faced with a difficult airway. We came upon an unexpected difficult airway and a failed intubation using a direct laryngoscope and lightwand. At this point, we decided to insert an i-gel which is quick and simple. This allowed us to maintain oxygenation and ventilation. After checking for the location of the laryngeal inlet with a flexible fiber optic bronchoscope, a 5.5 mm internal diameter endotracheal tube was inserted into the trachea over the flexible fiber optic bronchoscope. Finally, a suitable a 7.0 mm internal diameter endotracheal tube was inserted using an exchange catheter technique. With respect to this case, we conclused that the i-gel is a very helpful device for endotracheal intubation in patients with difficult airways.
Key Words: Difficult intubation, Fiberoptic, Supraglottic airway


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