Related Experiment Video

Updated: Jul 18, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Difficult intubation of a child through laryngeal mask airway with two tracheal tubes

Tanil Kendirli1, Erdal Ince, Asli Kavaz

  • 1Paediatric Intensive Care Unit, Ankara University Faculty of Medicine, Ankara, Turkey. tanilkendirli@hotmail.com

Acta Paediatrica (Oslo, Norway : 1992)
|November 30, 2006
PubMed

Insights

A laryngeal mask airway (LMA) successfully facilitated tracheal intubation in a pediatric patient with difficult anatomy. This case highlights the LMA

Area of Science:

  • Pediatric intensive care
  • Anesthesiology
  • Airway management

Background:

  • Difficult tracheal intubation is infrequent, affecting 1-2% of patients.
  • Securing a difficult airway in infants presents unique challenges.
  • Standard intubation methods may fail due to laryngeal anatomy.

Observation:

  • A 23-month-old girl with chronic lung disease and severe pneumonia required intensive care.
  • Direct laryngoscopy was unsuccessful due to a superiorly and anteriorly positioned larynx.
  • The patient's airway was secured using a laryngeal mask airway.

Findings:

  • Two tracheal tubes were successfully inserted through the laryngeal mask airway.
  • This technique provided a secure airway when direct visualization was not possible.
  • The laryngeal mask airway served as a crucial conduit for intubation.

Implications:

  • Laryngeal mask airways are valuable adjuncts for managing difficult pediatric airways.
  • This case demonstrates the utility of LMAs as a rescue device.
  • Effective airway management strategies are critical in pediatric intensive care settings.
Abstract

More Related Videos

The Rigid Tube as an Alternative in Controlling the Problematic Airway08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...