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Updated: Jan 31, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Unilateral vocal cord palsy occurred after difficult endotracheal intubation using intubating laryngeal mask airway:
Cheol Sin Mun1, Hyung Tae Kim1, Hyeon Eon Heo1
1Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. ingwei@nate.com.
Abstract:
Airway management is important during general anesthesia. Difficulties with a direct laryngoscopy can be managed successfully in a routine manner using a laryngeal mask airway. A 65-year-old woman was scheduled to undergo gynecologic surgery. After injecting the intravenous induction agents and muscle relaxants, intubation was attempted with a direct laryngoscope. However, the vocal cords could not be observed with only the epiglottis being slightly visible. Although intubation was re-attempted by another anesthesiologist, it failed. Intubation was successfully performed via an intubating laryngeal mask airway (ILMA) after additional 100% oxygen mask ventilation. We report a case of vocal cord palsy subsequent to tracheal extubation after endotracheal intubation via ILMA.
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