Unilateral vocal cord palsy occurred after difficult endotracheal intubation using intubating laryngeal mask airway: A case report. |
Cheol Sin Mun, Hyung Tae Kim, Hyeon eon Heo, Jun hak Lee, Young eun Kwon |
Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. ingwei@nate.com |
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Abstract |
Airway management is important during general anesthesia.
Difficulties with a direct laryngoscopy can be managed successfully in a routine manner using a laryngeal mask airway. A 65-year-old woman was scheduled to undergo gynecologic surgery. After injecting the intravenous induction agents and muscle relaxants, intubation was attempted with a direct laryngoscope. However, the vocal cords could not be observed with only the epiglottis being slightly visible. Although intubation was re-attempted by another anesthesiologist, it failed. Intubation was successfully performed via an intubating laryngeal mask airway (ILMA) after additional 100% oxygen mask ventilation.
We report a case of vocal cord palsy subsequent to tracheal extubation after endotracheal intubation via ILMA. |
Key Words:
Difficult intubation; Hoarseness; Intubating laryngeal mask airway; Laryngeal mask airway; Vocal cord palsy |
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