• T C R V van Zundert, D T Wong, and A A J van Zundert.
• Department of Anaesthesiology, ICU and Pain Therapy, Catharina Hospital-Brabant Medical School, Michelangelolaan 2, Eindhoven, Netherlands.
• Acta Anaesthesiol Scand. 2013 Jan 1; 57 (1): 77-81.

BackgroundMany extraglottic airway devices allow the direct passage of an adult-sized tracheal tube, but this is not possible with the LMA-Supreme(TM) . We evaluated the feasibility of using the LMA-Supreme(TM) as a conduit for intubation in patients with known difficult airways.MethodsSixty-eight adult patients, with preoperative predictors of difficult intubation, were scheduled for elective surgery under general anaesthesia. After assessing the direct laryngoscopy view, 23 patients with Cormack-Lehane III/IV were included in the study. An LMA-Supreme(TM) was inserted, followed by the passage of a flexible bronchoscope loaded with an Aintree Intubation Catheter into the trachea. The bronchoscope and LMA-Supreme(TM) were removed, and a tracheal tube was railroaded over the Aintree Intubation Catheter into the trachea.ResultsTracheal intubation was successful in all patients using the above technique. SpO(2) was >95% during the intubation procedure.ConclusionsWe conclude that the LMA-Supreme(TM) is a successful conduit for bronchoscopic/Aintree Intubation Catheter-guided intubation in patients with known difficult airway.© 2012 The Authors. Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation.

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