• Anesthesia and analgesia · May 2008

    Case Reports

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

    • Pavel Michalek, Philip Hodgkinson, and William Donaldson.
    • Department of Anaesthetics, Antrim Area Hospital, 45 Bush Rd, BT412RL, Antrim, United Kingdom/Northern Ireland. pafkamich@yahoo.co.uk
    • Anesth. Analg. 2008 May 1;106(5):1501-4, table of contents.

    AbstractWe 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.

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