• J Clin Anesth · Aug 2016

    Case Reports

    Awake intubating laryngeal mask airway placement in a morbidly obese patient with ankylosing spondylitis and unstable thoracic spine.

    • Abbey G Herman and Michael E Mahla.
    • Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610, USA.
    • J Clin Anesth. 2016 Aug 1; 32: 62-4.

    AbstractIntubating laryngeal mask airways can be used to provide continuous ventilation throughout intubation. This is a case of a morbidly obese (body mass index = 58) 65-year-old woman with T10 and T11 compression fractures. Optimal positioning for airway management was hindered by her unstable spine, minimal neck range of motion, and extreme pain with any movement. An intubating laryngeal mask airway was placed in the awake, topically anesthetized patient, and the laryngeal mask airway and endotracheal tube combination was left in place throughout surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

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