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Updated: Aug 7, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Use of the fibreoptic intubating LMA-CTrach in two patients with difficult airways
1Department Anaesthesiology, University of Washington Medical Center, Seattle, 98195, USA. agoldman@u.washington.edu
Abstract:
We report two patients with difficult airways who underwent tracheal intubation using the new fibreoptic intubating Laryngeal Mask Airway CTrach. The imaging technology of the LMA-CTrach was decisive in the management of these two patients. The first patient had lingual tonsillar hyperplasia, and an omega-shaped retroflexed epiglottis. The second patient had a C2-occipital fusion and was completely unable to extend her head. Given the anatomical difficulties encountered, it was likely that intubation would have been difficult or impossible through the LMA-Fastrach. The aim of this report is to describe the successful use of this new intubating laryngeal mask airway in these two challenging patients.
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