J Korean Soc Emerg Med.
2012 Jun;23(3):427-429.
Retrograde Intubation in Patients with Severe Cervical Ankylosing Spondylitis: A Laryngeal Mask Airway (LMA) Combined Technique
- Affiliations
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- 1Department of Emergency Medicine, College of Medicine, Cheonan Hospital of Soonchunhyang University, Korea.
- 2Department of Emergency Medicine, College of Medicine, Gumi Hospital of Soonchunhyang University, Korea.
- 3Department of Emergency Medicine, College of Medicine, Bucheon Hospital of Soonchunhyang University, Korea. lovelydr@schbc.ac.kr
Abstract
- Occurrence of cervical spineankylosis is rare, and intubation of patients with this condition can be difficult, particularly when fiberoptic laryngoscopy is not available. We performed successful endotracheal intubation in a 64-year-old male patient using a 7-mm cuffed polyvinyl chloride (PVC) tube with the help of a laryngeal mask airway (LMA). The LMA was initially used for rapid ventilation of the patient, and the guide wire was passed into the airway from the site of puncture of the cricothyroid membrane. This wire was easily observed in the LMA tube, and the use of long forceps was not required.
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