Korean J Anesthesiol.  2013 Sep;65(3):254-256. 10.4097/kjae.2013.65.3.254.

Use of the i-gel(TM) supraglottic airway device in a patient with subglottic stenosis: a case report

• Lee KH
• Kang ES
• Jung JW
• Park JH
• Choi YG

• KMID: 2239726
• DOI: http://doi.org/10.4097/kjae.2013.65.3.254

Abstract

The airway management of patients with subglottic stenosis poses many challenges for the anesthesiologists. Many anesthesiologists use a narrow endotracheal tube for airway control. This, however, can lead to complications such as tracheal mucosal trauma, tracheal perforation or bleeding. The ASA difficult airway algorithm recommends the use of supraglottic airway devices in a failed intubation/ventilation scenario. In this report, we present a case of failed intubation in a patient with subglottic stenosis successfully managed during an i-gel(TM) supraglottic airway device. The device provided a good seal, and allowed for controlled mechanical ventilation with acceptable peak pressures while the patient was in the beach-chair position.

Keyword

Airway management; Subglottic stenosis

MeSH Terms

Airway Management
Constriction, Pathologic
Hemorrhage
Humans
Intubation
Respiration, Artificial