Combined use of a McGrath¢ç MAC video laryngoscope and Frova Intubating Introducer in a patient with Pierre Robin syndrome: a case report

Korean Journal of Anesthesiology 2014³â 66±Ç 4È£ p.310 ~ p.313

±è¿ë¼®(Kim Yong-Suk) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
±èÁ¤Àº(Kim Jeong-Eun) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
Á¤´ÙÇý(Jeong Da-Hye) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine
ÀÌÀç¹Î(Lee Jae-Min) - Catholic University College of Medicine Department of Anesthesiology and Pain Medicine

Abstract

Patients with Pierre Robin syndrome are characterized by micrognathia, retrognathia, glossoptosis, and respiratory obstruction and are prone to have a difficult-to-intubate airway. The McGrath¢ç MAC video laryngoscope provides a better view of the glottis than a Macintosh laryngoscope, but it is not easy to insert an endotracheal tube through the vocal cords because a video laryngoscope has a much greater curvature than that of a conventional direct laryngoscope and an endotracheal tube has a different curvature. The Frova Intubating Introducer is used as a railroad for an endotracheal tube in cases of a difficult airway. We thought that a combination of these two devices would make it easy to insert an endotracheal tube through the vocal cords, as a McGrath¢ç MAC video laryngoscope provides a better glottic view and the Frova Intubating Introducer is a useful device for placing an endotracheal tube through the glottis. We report a successful endotracheal intubation with use of the McGrath¢ç MAC video laryngoscope and Frova Intubating Introducer in a patient with Pierre Robin syndrome.

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Airway management, Laryngoscope, Intubation, Pierre Robine syndrome
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