Successful tracheal intubation using fiberoptic bronchoscope via an I-gel™ supraglottic airway in a pediatric patient with Goldenhar syndrome -A case report-

• Main Authors: Young-Lok Kim, Da-Mi Seo, Kwang-Seok Shim, Eun-Ju Kim, Ji-Hyang Lee, Sang-Gon Lee, Jong-Seouk Ban
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2013-07-01
• Series: Korean Journal of Anesthesiology
• Subjects: airway management; fiberoptic bronchoscope; goldenhar syndrome; laryngeal mask airway; pediatric
• Online Access: http://ekja.org/upload/pdf/kjae-65-61.pdf

The I-gel™ is a single-use supraglottic airway device introduced in 2007 which features a non-inflatable cuff and allows passage of a tracheal tube owing to its large diameter and short length of the airway tube. In this case, the authors experienced a difficult airway management on a 4-year-old boy with underlying Goldenhar syndrome who underwent a tonsillectomy. Intubation using a laryngoscope was unsuccessful at the first attempt. In the following attempt, we used the I-gel™ supraglottic airway for ventilation and were able to achieve successful intubation with a cuffed tube by using fiberoptic bronchoscope through the I-gel™ supraglottic airway. The authors suggest that I-gel™ is a useful device for ventilation and it has many advantages for tracheal intubation in pediatric patients with difficult airway.