Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Aug 1994
Case ReportsUse of the laryngeal mask for fibrescope-aided tracheal intubation in an awake patient with a deviated larynx.
I report a case in which fibrescope-aided awake tracheal intubation was achieved using a laryngeal mask, in a patient with a mediastinal goitre in whom tracheal intubation with both a laryngoscope and a fibreoptic bronchoscope had failed. The tumour extended to the upper part of the mediastinum. The larynx and the upper segment of the trachea were displaced by the tumour. ⋯ The fibreoptic bronchoscope and the laryngeal mask were removed, and a reinforced endotracheal tube was then inserted over the plastic tube into the trachea. The time for tracheal intubation was about 70 s. The laryngeal mask may allow easier location of the laryngeal inlet with a fibreoptic bronchoscope, and this technique is a useful alternative to the conventional technique of tracheal intubation in the patient with a deviated larynx.
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Acta Anaesthesiol Scand · Aug 1994
Comment Letter Comparative StudyComparison of two fentanyl doses to improve epidural anaesthesia with 0.5% bupivacaine for caesarean section.