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cr20 Airtraq Laryngoscope For Bronchial Blocker Placement in A Difficult Airway

A male patient presented for left thoracotomy surgery with a difficult airway profile based on his BMI of 37 and Mallampati score of 3. An Airtraq laryngoscope was used to easily obtain a Cormack-Lehane grade I view of the vocal cords with minimal patient response. A bronchial blocker was then placed through the Airtraq and advanced through the vocal cords. An endotracheal tube was also placed through the vacant Airtraq channel and through the vocal cords. The Airtraq confirmed proper placement of both devices before being removed. This case provides additional evidence that the Airtraq can aid in placement of airway devices for patients with difficult airways.

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44 views1 page

cr20 Airtraq Laryngoscope For Bronchial Blocker Placement in A Difficult Airway

A male patient presented for left thoracotomy surgery with a difficult airway profile based on his BMI of 37 and Mallampati score of 3. An Airtraq laryngoscope was used to easily obtain a Cormack-Lehane grade I view of the vocal cords with minimal patient response. A bronchial blocker was then placed through the Airtraq and advanced through the vocal cords. An endotracheal tube was also placed through the vacant Airtraq channel and through the vocal cords. The Airtraq confirmed proper placement of both devices before being removed. This case provides additional evidence that the Airtraq can aid in placement of airway devices for patients with difficult airways.

Uploaded by

ANGELICA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CR#20

Airtraq for bronchial blocker placement in a difficult airway


Anaesthesia, 2009, 64, pages 687–697
G. DeGregoris; S. S. Hill; R. L. Slepian

A middle-aged male presented for left thoracotomy his body mass index was 37.0 kg.m2
and he had a Mallampati score of 3, with a thyromental distance of three finger breadths.
After monitoring and a pre-induction arterial line, the patient’s airway was treated with
4% lignocaine topically. A large size Airtraq laryngoscope was then easily placed
into the pharynx with minimal response from the patient. A Cormack–Lehane
grade I view was obtained quickly and it was consequently decided to induce
general anaesthesia.
After induction, the Airtraq laryngoscope was re-introduced, and a size 8 ⁄ 14 French
Syntel bronchial blocker was placed in the airway channel. The blocker was
advanced via the Airtraq through the vocal cords. It was then disengaged from the
channel, while the Airtraq remained in place. An 8.0 mm tracheal tube was then
placed into the now vacant channel and advanced through the vocal cords.
The Airtraq provided final visual confirmation that both the tracheal tube and bronchial
blocker were placed through the vocal cords and the device was withdrawn.
Our experience adds addition evidence for the usefulness of the Airtraq laryngoscope in
placement of airway devices.

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