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Use of the Lightwand (Trachlight-TM) as an Aid to Tracheal Intubation in Patient with Limited Mouth Opening and Failed Macintosh Laryngoscopy
Author(s):
1. Amal al-Siyabi: Department of Anesthesia & Intensive Care Unit, Khoula Hospital, Muscat, Oman
2. Rashid Manzoor Khan: Department of Anesthesia & Intensive Care Unit, Khoula Hospital, Muscat, Oman
3. Naresh Kaul: Department of Anesthesia & Intensive Care Unit, Khoula Hospital, Muscat, Oman
4. Awad Othman Abdul-Razik: Department of Anesthesia & Intensive Care Unit, Khoula Hospital, Muscat, Oman
5. Sujit Nair: Department of Anesthesia & Intensive Care Unit, Khoula Hospital, Muscat, Oman
Abstract:
A 50-year-old male patient with multi-organ failure and gangrene of the face was brought to the operation theater for an emergency debridement of the gangrenous tissue. Poor oral hygiene with loose teeth and limited mouth opening led to failure of rigid Macintosh laryngoscopy. Fiberoptic tracheal intubation was not adopted as an intubating aid as the patient was suspected of having pulmonary tuberculosis and there was a risk of equipment contamination. Lightwand (TrachlightTm) assisted tracheal intubation proved successful on the first attempt under general anesthesia despite the difficult airway of the patient. During lightwand assisted tracheal intubation, patient maintained good oxygenation as he continued to receive apneic oxygenation via a nasal catheter.
Page(s): 52-55
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Students, Volume: 1, Issue: 2, Year: 2011
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