Use of the Laryngeal Mask Airway-Aintree Intubating Catheter-fiberoptic bronchoscope technique for difficult intubation

• Published in: Journal of clinical anesthesia Vol. 23; no. 7; pp. 534 - 539
• Main Authors: Berkow, Lauren C., MD, Schwartz, Jamie M., MD, Kan, Kristin, MD, Corridore, Marco, MD, Heitmiller, Eugenie S., MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-11-2011; Elsevier; Elsevier Limited
• Subjects: Academic Medical Centers; Adolescent; Adult; Aged; Aged, 80 and over; Aintree Intubation Catheter; Airway; Airway management; Anesthesia; Anesthesia & Perioperative Care; Anesthesia, General - methods; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Bronchoscopes; Bronchoscopy - adverse effects; Bronchoscopy - methods; Catheterization - adverse effects; Catheterization - methods; Catheters; Databases, Factual; Female; Fiber Optic Technology; Fiberoptic intubation; Humans; Intubation; Intubation, Intratracheal - adverse effects; Intubation, Intratracheal - instrumentation; Intubation, Intratracheal - methods; Laryngeal Mask Airway; Laryngeal Masks; Laryngoscopy; Male; Medical sciences; Middle Aged; Pain Medicine; Retrospective Studies; Ventilators; Young Adult; United States > US; Aintree Intubation Catheter; Airway; Fiberoptic intubation; Laryngeal Mask Airway; Laryngoscopy; Aintree Intubation; Catheter; Mask; Anesthesia; Intubation
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2011.02.005

Abstract Study Objective To determine whether intubation using an Aintree Intubation Catheter (AIC), fiberoptic intubation (FOB), and Laryngeal Mask Airway (LMA) is safe and effective for securing the airway in patients who are difficult to intubate after induction of general anesthesia. Design Retrospective review of departmental difficult airway database procedures completed between July 2006 and December 2009. Setting Academic medical center. Measurements and Main Results During the study period, 128 of 500 patients entered into the difficult airway database underwent the LMA-AIC-FOB technique for intubation. One hundred nineteen (93%) of the 128 patients were successfully intubated by the LMA-AIC-FOB technique, and 9 required an alternate technique. No patient who underwent the LMA-AIC-FOB technique experienced an airway-related mortality or required an emergency surgical airway procedure. Conclusion The LMA-AIC-FOB technique is safe and effective for patients who are difficult to intubate after induction of anesthesia.