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- W2080893314 abstract "A curved blade 4 carrying a 6F Fogarty catheter (Fig. 1) [a “less bulky” refinement of a previously described modified blade (1) suggested by an Anesthesia & Analgesia Editorial Board Member] was used to improve laryngeal exposure in an anesthetized patient with feasible mask ventilation and a simplified airway risk index score (2) of 6 [Mallampati class ≥ III (2–4), definite difficult intubation history (2), and neck movement <80° (2)].Figure 1: The modified curved blade 4 with a 6F Fogarty catheter attached on the midline of its concave surface. The Fogarty catheter balloon is inflated with 1.5 mL of air.Initially, forceful laryngoscopy with a Macintosh blade 4 and external hyoid pressure resulted in visualization solely of the epiglottis tip and inadvertent esophageal intubation. Laryngoscopy was then repeated with the new modified blade. After epiglottis tip-visualization, the Fogarty catheter balloon was inflated with 1.5 mL of air, resulting in full epiglottis-visualization. The blade was advanced deep into the vallecula and elevated forcefully, resulting in exposure of the arytenoids’ muscular processes, and a 6.0 endotracheal tube was advanced tangentially to the epiglottis-laryngeal aspect and toward the arytenoids and placed into the trachea. We conclude that the Fogarty catheter-balloon inflation facilitated both the blade insertion into the vallecula by displacing the tongue-base upwardly and the epiglottis-lifting as a result of adequate contact between the balloon’s upper surface and the structures connected to the epiglottis (tongue-base and hyoid) (1). Spyros D. Mentzelopoulos MD Marina V. Tsitsika MD Evangelia A. Karamichali, MD, PhD" @default.
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- W2080893314 date "2000-08-01" @default.
- W2080893314 modified "2023-09-25" @default.
- W2080893314 title "Difficult Airway Management with Fogarty Catheter Balloon Inflation" @default.
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- W2080893314 doi "https://doi.org/10.1097/00000539-200008000-00054" @default.
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