Tracheal intubation in the prone position: Another way to access the airway
Keywords:
Anesthesia general, Intubation, intratracheal, Laryngoscopy, Airway management, Anesthesia
Abstract
Introduction:
Prone position of patients during anaesthesia is required to provide operative access for a wide variety of surgical emergencies as elective procedures.
Airway management in this position is a challenge for the anaesthetist because it creates obstacles that impair the ability to achieve endotracheal intubation by direct laryngoscopy.
Case report:
A 56-year-old male patient admitted to the emergency service with penetrating neck trauma caused by a 12cm knife protruding from the left posterior aspect of his neck between T2-T3. He had reduced sensation in the left part of his body below C5, although strength and movements were normal. Tracheal intubation in prone position was accomplished satisfactorily on the first attempt.
Conclusion:
Endotracheal intubation using conventional laryngoscopy can be accomplished safely and effectively in a patient in prone position.
References
1. Edgcombe H, Carter K, Yarrow S. Anaesthesia in the prone position. BJA. 2008;100:165-83.
2. Komasawa N, Ueki R, Itani M, Nomura H, Nishi S, Kaminoh Y. Evaluation of tracheal intubation in several positions by the Pentax-AWS Airway Scope a manikin study. JAnesth. 2010;24:908-12.
3. Alexander NG, Raitt DG, Smith G. Induction of anesthesia and insertion of a laryngeal mask airway in the prone position for minor surgery. Anesth Analg. 2002;94:1194-8.
4. Agrawal S, Sharma J, Jindal P, Sharma U, Rajan M. Airway management in prone position with an intubating laryngeal mask airway. J Clin Anesth. 2007:293-5.
5. Valero R, Serrano S, Adali R, Tercero J, Blasi A, Sánchez-Etayo G, et al. Anesthetic management of a patient in prone position with a drill bit penetrating the spinal canal at c1-c2, using a laryngeal mask. Anesth Analg. 2004:1447-50.
6. Weksler N, Klein M, Rozentsveig V, Weksler D, Sidelnik C, Lottan M, et al. Laryngeal mask in prone position: pure exhibitionism or a valid technique. Minerva Anestesiol. 2007;73:33-7.
7. Van Zundert A, Kuczkowski KM, Tijssen F, Weber E. Direct laryngoscopy and endotracheal intubation in the prone position following traumatic thoracic spine injury. J Anesth. 2008;22:170-2.
8. Komasawa N, Ueki R, Fujii A, Samma A, Nakagawa M, Nishi S, et al. Comparison of Laryngeal Mask Supreme and Soft Seal for airway management in several positions. J Anesth. 2011;25:535-9.
9. Samantaray A. Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury. Saudi J Anaesth. 2011;5:329-31.
10. Baer K, Nystrom B. Routine intubation in the prone position. Upsala J Med Sci. 2012;117:411-4.
11. Fiadjoe JE, Litman RS. Difficult tracheal intubation looking to the past to determine the future. Anesthesiology. 2012;116:1181-2.
12. López A, Valero R, Hurtado P, Gambús P, Pons M, Anglada T. Comparison of the LMA SupremeTM with the LMA ProsealTM for airway management in patients anaesthetized in prone position. BJA. 2011;107:265-71.
13. Williams RT, Harrison RE. Prone tracheal intubation simplified using an airway intubator. Can Anaesth Soc J. 1981;28:288-9.
14. Kumara V, Rainab R. Rescate de la vía aérea en posición prona con máscara laríngea en casos de estenosis de la columna lumbar y descompresión percutánea posterior por medio de un espaciador interespinoso. Rev Colomb Anestesiol. 2013;41:158-60.
15. Kumar V, Lalitha K, Lone T. Use of laryngeal mask airway in prone position. Apollo Med. 2008;5:29-34.
16. Prasad MK, Sinha AK, Bhadani UK, Chabra B, Rani K, Srivastava B. Management of difficult airway in penetrating cervical spine injury. Indian J Anaesth. 2010;54: 59-61.
2. Komasawa N, Ueki R, Itani M, Nomura H, Nishi S, Kaminoh Y. Evaluation of tracheal intubation in several positions by the Pentax-AWS Airway Scope a manikin study. JAnesth. 2010;24:908-12.
3. Alexander NG, Raitt DG, Smith G. Induction of anesthesia and insertion of a laryngeal mask airway in the prone position for minor surgery. Anesth Analg. 2002;94:1194-8.
4. Agrawal S, Sharma J, Jindal P, Sharma U, Rajan M. Airway management in prone position with an intubating laryngeal mask airway. J Clin Anesth. 2007:293-5.
5. Valero R, Serrano S, Adali R, Tercero J, Blasi A, Sánchez-Etayo G, et al. Anesthetic management of a patient in prone position with a drill bit penetrating the spinal canal at c1-c2, using a laryngeal mask. Anesth Analg. 2004:1447-50.
6. Weksler N, Klein M, Rozentsveig V, Weksler D, Sidelnik C, Lottan M, et al. Laryngeal mask in prone position: pure exhibitionism or a valid technique. Minerva Anestesiol. 2007;73:33-7.
7. Van Zundert A, Kuczkowski KM, Tijssen F, Weber E. Direct laryngoscopy and endotracheal intubation in the prone position following traumatic thoracic spine injury. J Anesth. 2008;22:170-2.
8. Komasawa N, Ueki R, Fujii A, Samma A, Nakagawa M, Nishi S, et al. Comparison of Laryngeal Mask Supreme and Soft Seal for airway management in several positions. J Anesth. 2011;25:535-9.
9. Samantaray A. Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury. Saudi J Anaesth. 2011;5:329-31.
10. Baer K, Nystrom B. Routine intubation in the prone position. Upsala J Med Sci. 2012;117:411-4.
11. Fiadjoe JE, Litman RS. Difficult tracheal intubation looking to the past to determine the future. Anesthesiology. 2012;116:1181-2.
12. López A, Valero R, Hurtado P, Gambús P, Pons M, Anglada T. Comparison of the LMA SupremeTM with the LMA ProsealTM for airway management in patients anaesthetized in prone position. BJA. 2011;107:265-71.
13. Williams RT, Harrison RE. Prone tracheal intubation simplified using an airway intubator. Can Anaesth Soc J. 1981;28:288-9.
14. Kumara V, Rainab R. Rescate de la vía aérea en posición prona con máscara laríngea en casos de estenosis de la columna lumbar y descompresión percutánea posterior por medio de un espaciador interespinoso. Rev Colomb Anestesiol. 2013;41:158-60.
15. Kumar V, Lalitha K, Lone T. Use of laryngeal mask airway in prone position. Apollo Med. 2008;5:29-34.
16. Prasad MK, Sinha AK, Bhadani UK, Chabra B, Rani K, Srivastava B. Management of difficult airway in penetrating cervical spine injury. Indian J Anaesth. 2010;54: 59-61.
How to Cite
1.
Castro-Gómez A, Delqado LA. Tracheal intubation in the prone position: Another way to access the airway. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 May 8];45(4):340–343. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/564
Downloads
Download data is not yet available.
Published
2017-10-01
How to Cite
1.
Castro-Gómez A, Delqado LA. Tracheal intubation in the prone position: Another way to access the airway. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 May 8];45(4):340–343. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/564
Issue
Section
Case Report / Case Series
Altmetric
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
