• Rom J Anaesth Intensive Care · Oct 2014

    Case Reports

    The i-gel as a conduit for the Aintree intubation catheter for subsequent fiberoptic intubation.

    • Alexander Izakson, Guy Cherniavsky, Alexey Lazutkin, and Tiberiu Ezri.
    • Department of Anesthesia Sieff Medical Center, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.
    • Rom J Anaesth Intensive Care. 2014 Oct 1; 21 (2): 131-133.

    AbstractWe report a clinical case of an 128 kg, 53 year old male, who was scheduled for sleeve gastrectomy surgery. Video laryngoscope (GlideScope - Verathron) assisted intubation was attempted. Despite repositioning of the head and neck and external laryngeal manipulations, two attempts to lift the epiglottis were unsuccessful. An i-gel (Intersurgical, Wokingham, Berkshire, United Kingdom) supraglottic device was successfully placed and normal oxygenation and ventilation was established with pressure controlled ventilation. An Aintree intubation catheter (AIC, Cook Medical, USA) pre-loaded onto a pediatric fiberoptic bronchoscope (FOB) was advanced through the i-gel. After fiber optic visualization of the vocal cords, the AIC and FOB were successfully placed into the patient's trachea. We conclude that the i-gel may not only serve as a substitute for failed tracheal intubation, but is also useful as a conduit for subsequent fiberoptic intubation.

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