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- Ravi V Chacko, Nisha X Jain, Brandon J Baird, and Alejandro A Palma.
- University of Chicago, Section of Emergency Medicine, United States of America; Advocate Christ Medical Center, Department of Emergency Medicine, United States of America. Electronic address: Ravi.chacko@aah.org.
- Am J Emerg Med. 2023 May 1; 67: 196.e3196.e5196.e3-196.e5.
AbstractEmergency airway management requires matching the appropriate intubation tools to anticipated obstacles. Video laryngoscopy and flexible endoscopy are often used for difficult airways. Here we describe a case where neither method alone was anticipated to be sufficient. A 53-year-old female with an obstructing lung mass required intubation for a mixed type 1 and 2 respiratory failure. Chest x-ray revealed a tortuous subglottic obstruction. The patient could not be temporized on maximized non-invasive airway support. These factors made tandem intubation, sequentially using video laryngoscopy and flexible endoscopic intubation, an appropriate intubation strategy. In this case report we describe the rationale and technique for a rapid sequence tandem intubation.Copyright © 2023 Elsevier Inc. All rights reserved.
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