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Korean J Anesthesiol > Volume 26(5); 1993 > Article
Korean Journal of Anesthesiology 1993;26(5):1029-1034.
DOI: https://doi.org/10.4097/kjae.1993.26.5.1029   
Endotracheal Intubation with Laryngeal Mask Airway and Fiberoptic Bronchoscope.
Jong Hun Jun, Ik Sang Seung, Sang Yoon Cho, Jung Kook Suh
Department of Anesthesiology, Hanyang University College of Medicine, Seoul, Korea.
Abstract
It is easy to view the laryngeal aperature with a flexible fiberscope through a laryngeal mask airway (LMA). This is a case report that the LMA could facilitate a fiberscope-aided tracheal intubation easily. Patient was a 59 year old female who had some limitation of mouth opening due to ankylosis of bilateral temporomandibular joints. After thiopental (200 mg) and succinylcholine chloride (50 mg) were given intravenously, a number 3 sized LMA was inserted and the lungs were ventilated via the LMA. The anesthesia cirele system is then disconnected from the LMA and a fiberscope, with the proximal end jacketed with a well-lubricated, cuffless, 6-mm-ID endotracheal tube (ETT); was inserted into the trachea through the lumen of the LMA. The 6-mm-ID ETT was threaded over the fiberscope into the trachea before fiberscope was withdrawn, and a traeheal tube exchanger was inserted through the ETT after enough ventilation for a while, followed withdrawal of the LMA and ETT. Finally, we can make the 7 mm-ID ETT with cuff insert into the trachea over a tracheal tube exchanger very easily without any difficulties.
Key Words: Anesthetic techniques; fiberoptic tracheal intubation; Equipment; laryngeal mask airway


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