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Endotracheal Intubation I: Procedure

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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...

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Updated: May 17, 2025

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Published on: January 6, 2011

Face-to-Face Intubation During a Deep Brain Stimulation Surgery: A Case Report.

Sara Peixoto Rabelo¹, Eduardo S Rodrigues¹, Sanjeet Grewal²

¹From the Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Florida, Jacksonville, Florida.

|April 3, 2025

Summary

This summary is machine-generated.

A novel "face-to-face intubation" technique using a videolaryngoscope was successfully employed when standard supraglottic airway placement failed. This method offers anesthesiologists an alternative airway management skill.

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Area of Science:

Anesthesiology
Airway Management
Surgical Procedures

Background:

Standard airway management techniques can fail in challenging surgical scenarios.
Deep brain stimulation surgery with a fixed head presents unique airway challenges.
Supraglottic airway placement may be unsuccessful due to inadequate seal formation.

Purpose of the Study:

To describe an unconventional videolaryngoscope intubation technique.
To present the successful application of the "face-to-face intubation" method.
To highlight the utility of front-access intubation in difficult airway cases.

Main Methods:

Utilized a videolaryngoscope for intubation from the patient's front.
Applied the "face-to-face intubation" technique during deep brain stimulation surgery.
Managed a case where supraglottic airway placement was unsuccessful.

Main Results:

Successfully intubated the patient using the face-to-face technique.
Overcame challenges posed by a fixed Mayfield frame and failed supraglottic airway.
Demonstrated the feasibility of front-access intubation.

Conclusions:

The face-to-face intubation technique is a viable alternative for airway management.
This method expands the anesthesiologist's toolkit for challenging intubations.
Front-access intubation can be crucial in specific surgical contexts.