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- Kiyoshi Moriyama, Yoshi Misonoo, Atsuko Kimura, Kumi Moriyama, Kyoko Kusumoto, Hiroyuki Yasuda, Tomoko Yorozu, and Yasuhide Iwao.
- Department of Anesthesiology, Kyorin University Faculty of Medicine, Tokyo 181-8611.
- Masui. 2011 Apr 1; 60 (4): 458-60.
AbstractA 61-year-old woman with pulmonary lymphangioleiomyomatosis was scheduled for video-assisted thoracoscopic surgery for partial resection of the lung. The patient had micrognathism and a recent history of difficult airway management [difficult mask ventilation and intubation (Cormak grade III)]. On induction, mask ventilation was accomplished with the use of nasal airway. We initially inserted Airtraq laryngoscope and gained a view of Cormak grade III. Therefore, a 32 Fr left-sided Blue Line endobroncheal tube was nasotracheally intubated using a fiberscope (3.1-mm diameter). Nasotracheal intubation with a 32F Blue Line endobroncheal tube can be a choice for patients with difficult airway when one lung ventilation is required.
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