Blind intubation through Laryngeal Mask Airway in a cannot intubate-difficult to ventilate patient with massive hematemesis.
Cannot intubate-cannot oxygenate
Laryngeal Mask Airway
emergency department
hematemesis
Journal
Saudi journal of anaesthesia
ISSN: 1658-354X
Titre abrégé: Saudi J Anaesth
Pays: India
ID NLM: 101500601
Informations de publication
Date de publication:
Historique:
received:
26
08
2020
revised:
11
09
2020
accepted:
02
10
2020
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
1
7
2021
Statut:
ppublish
Résumé
Massive hematemesis could be challenging situation requiring emergency airway control and urgent surgical treatment. We report a case of difficult airway management with blind intubation through Laryngeal Mask Airway in a 56-year-old patient with massive hematemesis. After failed endoscopic attempts to stop bleeding, worsening of hemodynamics called for emergency intubation and surgery. After failed intubation attempts and face-mask ventilation worsening, a classic LMA was used for rescue ventilation and decision was made to intubate through LMA. The airway exchange was aided by a nasogastric tube (NGT) through LMA, confirmed with capnography and surgery was started successfully and uneventfully. Unexpected difficult airway can be extremely challenging situation, especially in emergency settings with no possibility to delay surgery. In those cases, literature suggests different intubating techniques through LMA. Blind intubation through LMA aided by NGT showed to be a suitable option in resources-limited settings, where advanced supraglottic devices and/or optical devices are not available.
Identifiants
pubmed: 34188641
doi: 10.4103/sja.SJA_902_20
pii: SJA-15-199
pmc: PMC8191279
doi:
Types de publication
Case Reports
Langues
eng
Pagination
199-203Informations de copyright
Copyright: © 2021 Saudi Journal of Anaesthesia.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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