[Intubating laryngeal mask airway (ILMA) in otorhinolaryngology surgery. A case of failure].

Abstract:

:Intubating laryngeal mask airway (ILMA) is a very useful device for difficult airway management. The use of this device has not yet been studied in otorhinolaryngology surgery. The case of a 52-year-old man, weighing 104 kg, anesthetized for microlaryngoscopy due to aphonia occurred 6 months before, is reported. Traditional intubation was impossible. ILMA was easily positioned and the patient was ventilated. Intubation using ILMA was difficult and the operation postponed. Later, a bilateral false vocal chords hypertrophy was found. Impossible intubation using ILMA is a rare occurrence, less than 10% of cases. From previous evidence failed intubations are caused by anatomical anomalous formations, often predictables by clinical history. Blind intubation with ILMA is not, probably, the first alternative in these cases. Fiberoptic equipment intubation or use of ILMA with fiberoptic bronchoscope must be considered in these situations for possible better RESULTS. The use of ILMA in otorhinolarynogology surgery must be investigated with a specific study because there are only few experiences on this subject.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Bianchin A,Polo M,Cavarzerani C

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

727-30

issue

10

eissn

0375-9393

issn

1827-1596

journal_volume

67

pub_type

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