+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Successful intubation in a difficult case using an Ambu Laryngeal Mask Angle Type-i, and the ability to pass a gastric tube behind the laryngeal mask



Successful intubation in a difficult case using an Ambu Laryngeal Mask Angle Type-i, and the ability to pass a gastric tube behind the laryngeal mask



Masui. Japanese Journal of Anesthesiology 63(5): 545-547



A 71-year-old male was scheduled for a laparoscopic cholecystectomy. The plan was to intubate him using direct laryngoscopy. After induction of anesthesia and analgesia direct laryngoscopy was performed but it was difficult to get a good view of epiglottis, and at 2nd attempt there was laryngeal edema, which made the procedure more difficult. The patient was then ventilated with a facemask and it was decided to intubate him with an Ambu Laryngeal Mask Angle Type-i (Aura-i) and a bronchofiberscope. The procedure worked, and the patient was successfully intubated. We did not want to remove the Aura-i due to concerns about losing the airway. Therefore, we decided to place the gastric tube with the Aura-i still inserted. Therefore the cuff of the Aura-i was deflated and we were able to easily pass a gastric tube behind the Aura-i type easily. After the operation, the patient was extubated from the trachea with the Aura-i still in place. When sufficient respiration returned, the Aura-i was removed. There was no bleeding in the mouth after removal of the Aura-i.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 055997080

Download citation: RISBibTeXText

PMID: 24864577


Related references

Comparison of classic laryngeal mask airway with Ambu laryngeal mask for tracheal tube exchange: A prospective randomized controlled study. Indian Journal of Anaesthesia 57(3): 259-264, 2013

Airway equipment and its maintenance for a non difficult adult airway management (endotracheal intubation and its alternative: face mask, laryngeal mask airway, laryngeal tube). Annales Francaises d'Anesthesie et de Reanimation 22(Suppl. 1): 28s-40s, 2003

A comparison of blind intubation with the intubating laryngeal mask FASTRACH™ and the intubating laryngeal mask Ambu Aura-i™ a prospective randomised clinical trial. Bmc Anesthesiology 19(1): 44, 2019

The importance of the laryngeal mask in the difficult intubation and early experience with the intubating laryngeal mask airway--ILMA--Fastrach. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie 33(12): 771-780, 1999

Endotracheal intubation through laryngeal Ambu® Auragain™ mask airway mask in paediatric patients affected by congenital infiltrating lipomatosis. Revista Espanola de Anestesiologia Y Reanimacion 66(4): 222-225, 2019

Positive pressure ventilation during fibreoptic intubation: comparison of the laryngeal mask airway, intubating laryngeal mask and endoscopy mask techniques. British Journal of Anaesthesia 88(2): 246-254, 2002

Randomised Comparison of the AMBU AuraOnce Laryngeal Mask and the LMA Unique Laryngeal Mask Airway in Spontaneously Breathing Adults. Anesthesiology Research and Practice 2012: 405812, 2012

Randomised crossover comparison of the Ambu AuraOnce Laryngeal Mask with the LMA Classic laryngeal mask airway in paralysed anaesthetised patients. Anaesthesia 63(1): 82-85, 2008

Comparison of LMA Unique, Ambu laryngeal mask and Soft Seal laryngeal mask during routine surgical procedures. European Journal of Anaesthesiology 24(9): 812-813, 2007

Comparison of LMA Unique, Ambu laryngeal mask and Soft Seal laryngeal mask during routine surgical procedures. European Journal of Anaesthesiology 24(2): 134-140, 2007

A comparison of the disposable Ambu AuraOnce Laryngeal Mask with the reusable LMA Classic laryngeal mask airway. Anaesthesia 62(7): 719-722, 2007

The i-gel Supraglottic Airway as a Conduit for Fibreoptic Tracheal Intubation - A Randomized Comparison with the Single-use Intubating Laryngeal Mask Airway and CTrach Laryngeal Mask in Patients with Predicted Difficult Laryngoscopy. Prague Medical Report 117(4): 164-175, 2017

Are the King LTS Laryngeal Tube and the Ambu AuraOnce Laryngeal Mask Useful Airway Adjuncts for Military Medics?. Journal of Special Operations Medicine 18(2): 90-96, 2018

Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report. Korean Journal of Anesthesiology 66(3): 237-239, 2014

Laryngeal tube S II, laryngeal tube S disposable, Fastrach laryngeal mask and Fastrach laryngeal mask disposable during elective surgery: a randomized controlled comparison between reusable and disposable supraglottic airway devices. European Journal of Anaesthesiology 27(5): 468-472, 2010