• Hyungmo Jeong, Minchul Chae, Hyungseok Seo, Jae-Woo Yi, Jong-Man Kang, and Bong-Jae Lee.
• Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, 892 Dongnam-ro Gangdong-gu, Seoul, 05278, South Korea.
• BMC Anesthesiol. 2018 Jul 21; 18 (1): 92.

BackgroundSevere deformity of the thoracolumbar spine may cause difficulty in airway management during induction of anesthesia. Therefore, special attention must be devoted to patient safety.Case PresentationA 65-year-old male with severe thoracolumbar kyphosis was scheduled to undergo posterior spinal fusion under general anesthesia. Due to his inability to lie supine, conventional tracheal intubation under direct laryngoscopy was difficult. Alternatively, face-to-face tracheal intubation using a lightwand in the semi-recumbent position was performed. Intubation was successful on the first attempt without any complications.ConclusionsThe face-to-face intubation technique using a lightwand is one of several alternative techniques for tracheal intubation in patients who cannot lie supine.

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