[Nasotracheal intubation using a fiberscope with a 32Fr blue line endobroncheal tube in a patient with micrognathism].

Abstract

A 61-year-old woman with pulmonary lymphangioleiomyomatosis was scheduled for video-assisted thoracoscopic surgery for partial resection of the lung. The patient had micrognathism and a recent history of difficult airway management [difficult mask ventilation and intubation (Cormak grade III)]. On induction, mask ventilation was accomplished with the use of nasal airway. We initially inserted Airtraq laryngoscope and gained a view of Cormak grade III. Therefore, a 32 Fr left-sided Blue Line endobroncheal tube was nasotracheally intubated using a fiberscope (3.1-mm diameter). Nasotracheal intubation with a 32F Blue Line endobroncheal tube can be a choice for patients with difficult airway when one lung ventilation is required.

• Authors: Kiyoshi Moriyama, Yoshi Misonoo, Atsuko Kimura, Kumi Moriyama, Kyoko Kusumoto, Hiroyuki Yasuda, Tomoko Yorozu, Yasuhide Iwao
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 60 Issue 4 Pg. 458-60 (Apr 2011) ISSN: 0021-4892 [Print] Japan
• PMID: 21520595 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Female
• Humans
• Intubation, Intratracheal (instrumentation, methods)
• Lung Neoplasms (surgery)
• Lymphangioleiomyomatosis (surgery)
• Micrognathism (complications)
• Middle Aged
• Pneumonectomy
• Thoracic Surgery, Video-Assisted