Placement of a double-lumen tube using LMA C Trach and an exchanger catheter in difficult airway intubation -A case report-

Abstract

During insertion of the double lumen tube in patients with cervical vertebral fixation, the cervical neutral position should be maintained. Although flexible fiberoptic bronchoscopic intubation is the gold standard, novel techniques are needed to facilitate intubation of patients with cervical vertebral fixation in neutral position according to institutional capabilities. In this case report, insertion of the double lumen tube in the neutral position using LMA CTrach and an airway exchanger catheter in a thoracotomy patient with extremely limited head and neck motion due to fixation of the cervical vertebrae is presented.

Keywords

• airway management
• difficult airway
• equipment
• laryngeal masks
• lung separation