[The intubating laryngeal mask for a patient with cerebrospinal fluid rhinorrhea and pneumocephalus].

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.

• 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)

Topics

• Anesthesia, General
• Cerebrospinal Fluid Rhinorrhea (etiology)
• Humans
• Intracranial Aneurysm (surgery)
• Intubation, Intratracheal
• Laryngeal Masks
• Male
• Middle Aged
• Pneumocephalus (etiology)
• Postoperative Complications