2. Greater Houston Anesthesiology.
Failed endotracheal intubation will always be a major concern for anesthesiologists because of the devastating outcomes associated with it. Any methods used to safely secure a difficult airway ultimately improves patient outcome, prevents adverse events, and should be shared with others. The American Society of Anesthesiologists' difficult airway algorithm outlines multiple interventions that can be utilized to manage and secure a difficult airway. This report describes the integration of more than one technique to safely secure an airway. We present a 50 year-old, 74 kg male who presented for right ulnar nerve transposition and turned out to have a difficult airway. We describe how we emergently secured the airway successfully by using an Aintree intubating catheter as means of intermittent ventilation and for the exchange of an endotracheal tube via the laryngeal mask airway using the flexible fiberoptic bronchoscopy.
Keywords: Difficult airway, endotracheal intubation, laryngeal mask airway, aintree intubating catheter