Anesth Pain Med.  2017 Oct;12(4):339-341. 10.17085/apm.2017.12.4.339.

Successful use of C-MAC® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant: A case report

• Kang BJ
• Seo H
• Lee SH

• KMID: 2405851
• DOI: http://doi.org/10.17085/apm.2017.12.4.339

Abstract

A 6-month-old boy was scheduled for a laryngeal mass excision and tracheal bougienage for secondary subglottic stenosis. Following successful excision of the laryngeal mass, a tracheal tube was temporarily extubated for tracheal bougination. However, tracheal re-intubation using a direct laryngoscope with the Miller blade failed because of mucosal swelling and bloody secretions. Following multiple intubation attempts, the patient's peripheral oxygen saturation had decreased to 52%. Immediately, a video laryngoscope was requested, and, by using the C-MAC® video laryngoscope, the patient was successfully re-intubated. Because pediatric patients are more vulnerable to desaturation, extreme caution should be used in securing airways even during a short apneic period. Using a video laryngoscope at the first intubation attempt would be useful for successful tracheal intubation.

Keyword

Difficult intubation; Pediatrics; Video laryngoscope

MeSH Terms

Constriction, Pathologic
Humans
Infant*
Intubation*
Laryngoscopes*
Male
Oxygen
Pediatrics
Oxygen

Figure

• 

  Fig. 1 Comparison of two intubation devices. The C-MAC® video laryngoscope with a #0 Miller blade (left) has a longer blade with a slightly angular tip and a brighter light source than does the conventional direct laryngoscope with a #0 Miller blade (right).

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