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1: Anesth Analg. 2008 May;106(5):1501-4, table of contents.Click here to read Links

Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability.

Michalek P, Hodgkinson P, Donaldson W.

Department of Anaesthetics, Antrim Area Hospital, 45 Bush Rd, BT412RL, Antrim, United Kingdom/Northern Ireland. pafkamich@yahoo.co.uk

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.

PMID: 18420867 [PubMed - indexed for MEDLINE]

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