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학술저널
저자정보
Kim, Jin-Sun (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital) Seo, Dong-Kyun (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital) Lee, Chang-Joon (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital) Jung, Hwa-Sung (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital) Kim, Seong-Su (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제15권 제3호
발행연도
2015.1
수록면
167 - 171 (5page)

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When anesthesiologists encounter conditions in which intubation is not possible using a conventional direct laryngoscope, they can consider using other available techniques and devices such as fiber optic bronchoscope (FOB)-guided intubation, a laryngeal mask airway (LMA), intubating LMA (ILMA), a light wand, and the Combitube. FOB-guided intubation is frequently utilized in predicted difficult airway cases and is generally performed when the patient is awake to enable easier access to the trachea. An LMA can be introduced to ventilate the patient with relative ease, while an ILMA can be used for definite endotracheal intubation. However, occasionally, an endotracheal tube (ETT) cannot pass through the larynx, despite successful introduction of a FOB into the trachea and placement of an ILMA by the anesthesiologist. Therefore, we initially introduced an ILMA for emergent ventilation, followed by successful insertion of an ETT under FOB guidance. In this report, we describe three cases of difficult intubation using a FOB and ILMA combination approach.

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