• Anesthesia and analgesia · Nov 2008

    Emergency airway management with fiberoptic intubation in the prone position with a fixed flexed neck.

    • Ming-Hui Hung, Shou-Zen Fan, Chun-Po Lin, Yen-Chun Hsu, Po-Yuan Shih, and Tzong-Shiun Lee.
    • Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, 7, Chung-San South Road, Taipei, Taiwan.
    • Anesth. Analg. 2008 Nov 1;107(5):1704-6.

    AbstractWe describe emergency airway management with fiberoptic intubation in a patient in the prone position with her neck flexed by a head pin holder during a neurosurgical procedure. Laryngeal mask airway is suggested in emergency difficult airway algorithms; however, this was not feasible in this patient because of her edematous upper airway and limited mouth opening resulting from extreme neck flexion by a head pin holder. The case illustrates the role of fiberoptic intubation in emergency airway management in this critical situation. Maneuvers to facilitate fiberoptic technique are also described.

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