• Acta paediatrica · Dec 2006

    Case Reports

    Difficult intubation of a child through laryngeal mask airway with two tracheal tubes.

    • Tanil Kendirli, Erdal Ince, Asli Kavaz, Ergin Ciftçi, Zekeriya Alanoğlu, and Ulker Doğru.
    • Paediatric Intensive Care Unit, Ankara University Faculty of Medicine, Ankara, Turkey. tanilkendirli@hotmail.com
    • Acta Paediatr. 2006 Dec 1;95(12):1688-90.

    UnlabelledDifficult tracheal intubation occurs infrequently. It is estimated that difficult laryngoscopy occurs in 1-2% of patients. Tracheal intubation of especially small infants can be challenging. When faced with a difficult airway, intubation through a laryngeal mask airway is one method of obtaining a secure airway. Here, we report a 23-mo-old girl with chronic lung disease and severe pneumonia, who was admitted to our paediatric intensive care unit. Since the patient could not be intubated by the standard method, because her larynx was up and forward, she was intubated successfully with a laryngeal mask airway through which two consecutive tracheal tubes were inserted.ConclusionLaryngeal mask airway has an important role as a back-up device in case direct visualization of the larynx is not possible.

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