• Acta Anaesthesiol Belg · Jan 2011

    Case Reports

    Failed intubating laryngeal mask airway-guided blind endotracheal intubation in a severe postburn contractured neck patient.

    • B Kumar, K Vadaje, S Sethi, and A Singh.
    • Department of Anesthesia and Intensive Care, PGIMER, Chandigarh. bhupeshkr@yahoo.com
    • Acta Anaesthesiol Belg. 2011 Jan 1;62(2):95-9.

    AbstractSecuring the airway in patients with severe post burn contracture of the neck is often challenging for attending anesthesiologists. Fiberoptic bronchoscope (FOB)-guided endotracheal intubation is considered safe and reliable in this situation. Intubating Laryngeal Mask Airway (ILMA) is an alternative in case of FOB unavailability. We report a case of 30 year old female with mentosternal contracture, where the use of ILMA allowed easy ventilation but failed to enable successful ILMA-guided blind intubation despite multiple attempts, the use of recommended Chandey's maneuver and muscle relaxation. Subsequent FOB revealed marked anterior dislocation of laryngotracheal structures, leading to a slippage of the endotracheal tube back to the esophagus.

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