Use of the intubating laryngeal mask airway to facilitate awake orotracheal intubation in patients with cervical spine disorders

Jenson K. Wong, W. Kendall Tongier, Steven C. Armbruster, Paul F. White

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Airway management in patients with unstable cervical spines remains a challenge for anesthesia providers. Because neurologic evaluations may be required following tracheal intubation and positioning for the surgical procedure, an awake intubation technique is desirable in this patient population. In this report, we describe the use of an intubating laryngeal mask airway (ILMA) to facilitate awake tracheal intubation in two patients with cervical spine disorders. After topical local analgesia, the ILMA was inserted easily, and a tracheal tube was passed through the glottic opening without complications. Thus, the ILMA may be an acceptable alternative to the fiberoptic bronchoscope for awake tracheal intubation.

Original languageEnglish (US)
Pages (from-to)346-348
Number of pages3
JournalJournal of Clinical Anesthesia
Volume11
Issue number4
DOIs
StatePublished - Jun 1 1999

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Keywords

  • Intubation: fiberoptic-assisted, nasotracheal, technique of
  • Laryngeal mask airway, intubating

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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