Abstract |
A 53-year-old male was scheduled for repairs of cerebrospinal fluid ( CSF) rhinorrhea and pneumocephalus under general anesthesia. He had undergone a neck clipping for a ruptured anterior communicating aneurysm 13 days before. As he had a difficult airway, Trachlight was used for successful tracheal intubation. To avoid tension pneumocephalus, an intubating laryngeal mask (ILM) was inserted with rapid sequence induction without positive pressure ventilation. A 7.0 mm ID straight silicone reinforced tube was then inserted through the ILM using a fiberscope. A fiberscope guided tracheal intubation via the ILM is recommended for patients with CSF rhinorrhea and pneumocephalus especially when the trachea is difficult to intubate under direct laryngoscopy.
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Authors | Takashi Noguchi, Yousuke Shiga, Kazunori Koga |
Journal | Masui. The Japanese journal of anesthesiology
(Masui)
Vol. 52
Issue 2
Pg. 167-9
(Feb 2003)
ISSN: 0021-4892 [Print] Japan |
PMID | 12649875
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Anesthesia, General
- Cerebrospinal Fluid Rhinorrhea
(etiology)
- Humans
- Intracranial Aneurysm
(surgery)
- Intubation, Intratracheal
- Laryngeal Masks
- Male
- Middle Aged
- Pneumocephalus
(etiology)
- Postoperative Complications
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