Anesth Pain Med.
2012 Apr;7(2):147-150.
Endotracheal intubation using i-gel and a flexible fiber optic bronchoscope: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, School of Medicine, Inha University, Incheon, Korea. jhs@inha.ac.kr
- 2Department of Family Medicine, Hallym Hospital, Incheon, Korea.
Abstract
- Most anesthesiologists, at one point or another, are faced with a difficult airway. We came upon an unexpected difficult airway and a failed intubation using a direct laryngoscope and lightwand. At this point, we decided to insert an i-gel which is quick and simple. This allowed us to maintain oxygenation and ventilation. After checking for the location of the laryngeal inlet with a flexible fiber optic bronchoscope, a 5.5 mm internal diameter endotracheal tube was inserted into the trachea over the flexible fiber optic bronchoscope. Finally, a suitable a 7.0 mm internal diameter endotracheal tube was inserted using an exchange catheter technique. With respect to this case, we conclused that the i-gel is a very helpful device for endotracheal intubation in patients with difficult airways.
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