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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.
A&A Practice
|April 3, 2025
Summary
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.
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.
