Difficult Fibreoptic Intubation in an Intellectually Handicapped Patient

Fibreoptic and stylet aided orotracheal intubation: a different approach for the difficult intubation.

To the Editor: We report a technique of orotracheal intubation using the combination of a flexible fibreoptic bronchoscope (FOB) and a stylet in a patient whose operation was postponed initially because of failed intubation. A 44-yr-old male was scheduled for total resection of the thyroid gland. After induction of anesthesia, a laryngeal view was not obtained by direct laryngoscopy. An experie...

Use of the Airtraq with a fibreoptic bronchoscope in a difficult intubation outside the operating room.

CAN J ANESTH 55: 8 www.cja-jca.org August, 2008 ment with a bolus, followed by continuous infusion of naloxone, and tracheal intubation was not needed. Subsequent testing of the PCA determined that, when the door of the PCA was closed, due to a defect in the pump, there was unintended pressure on the free flow protection device which allowed for free flow. This defect was not visible to the nak...

Use of the nasotracheal Airtraq to assist difficult nasal fibreoptic intubation.

Unexpected Difficult Intubation in a Patient with Prominent Mandibular Tori

Bony exostoses such as mandibular tori are fairly common. They are asymptomatic, benign cortical bony protuberances occurring along the lingular aspect of the mandible. Large tori may interfere with direct laryngoscopy resulting in difficult intubation. This is a case report about a 66 year old, Caucasian male with a Mallampati class I airway who was un-intubatable initially, due to the presenc...

Difficult intubation in a patient with vallecular cyst.

Although rare, vallecular cysts can have catastrophic consequences in an anaesthetised patient if airway management is inappropriate. We report a case of difficult intubation in a 46-year-old man with a vallecular cyst, and detail the methods and strategies for successful endotracheal tube insertion. Following a review of the current literature, we also discuss airway management options in adul...