| A Successful Tracheostomy under General Anesthesia with Blind Intubation via ILMA in a Sitting Position. |
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Jang Eun Jo, Jee Young Kim, Hyeon Ju Kil, Seung TaK Han, Hoon Do Kim, Hae Keum Kil |
1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea. hKKil@yumc.yonsei.ac.kr
2Department of Anesthesiology, College of Medicine, Pocheon Jungmun University, Seongnam, Korea. |
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| Abstract |
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The intubating laryngeal masK airway is a newly available device designed to allow for blind endotracheal intubation and treatment of patients with difficult airways. Emergency tracheostomies are required for oropharyngeal, hypopharyngeal, and laryngeal tumors acutely obstructing the airway. Patients with an airway obstructive tumor maintain their airway by a very active inspiratory effort in a sitting position. In these patients, it may be impossible to position them for a tracheostomy with shoulder extension.
We report a case where a patient was tracheostomized successfully under general anesthesia with blind intubation via ILMA insertion in a sitting position. |
| Key Words:
Airway: intubating laryngeal mask airway; tracheostomy; Anesthetics, intravenous: propofol |
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