Korean J Anesthesiol.  2013 Jul;65(1):61-65. 10.4097/kjae.2013.65.1.61.

Successful tracheal intubation using fiberoptic bronchoscope via an I-gel(TM) supraglottic airway in a pediatric patient with Goldenhar syndrome: A case report

• Kim YL
• Seo DM
• Shim KS
• Kim EJ
• Lee JH
• Lee SG
• Ban JS

• KMID: 1828070
• DOI: http://doi.org/10.4097/kjae.2013.65.1.61

Abstract

The I-gel(TM) is a single-use supraglottic airway device introduced in 2007 which features a non-inflatable cuff and allows passage of a tracheal tube owing to its large diameter and short length of the airway tube. In this case, the authors experienced a difficult airway management on a 4-year-old boy with underlying Goldenhar syndrome who underwent a tonsillectomy. Intubation using a laryngoscope was unsuccessful at the first attempt. In the following attempt, we used the I-gel(TM) supraglottic airway for ventilation and were able to achieve successful intubation with a cuffed tube by using fiberoptic bronchoscope through the I-gel(TM) supraglottic airway. The authors suggest that I-gel(TM) is a useful device for ventilation and it has many advantages for tracheal intubation in pediatric patients with difficult airway.

Keyword

Airway management; Fiberoptic bronchoscope; Goldenhar syndrome; Laryngeal mask airway; Pediatric

MeSH Terms

Airway Management
Bronchoscopes
Goldenhar Syndrome
Humans
Intubation
Laryngeal Masks
Laryngoscopes
Tonsillectomy
Ventilation