Emergency intubation through the laryngeal mask airway The effective application of cricoid pressure

Abstract

SummaryA patient with Kugelberg-Welander disease presented as an unexpected dificult intubation. Tracheal intubation was achieved through the laryngeal mask airway, while regurgitation was prevented with continuous cricoid pressure. Regurgitation occurred af er cricoid pressure was released.

Anesthesia and spinal muscle atrophy

“…Intubation problems are rarely mentioned in anesthesia textbooks, and conditions may be good . There are, however, many case reports describing difficult and failed intubations, see Table . Limited mobility of the cervical spine is caused by joint contractures and/or previous spinal surgery .…”

“…With proper settings, ventilatory support will reduce the work of breathing . The laryngeal mask airway may also be used as a rescue device in failed intubation . Other indications for the laryngeal mask airway could be tracheal stenosis or granulomas caused by repeated intubations.…”