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The Channelled Airtraq ® as a Rescue Device Following Failed Expected Difficult Intubation with an Angulated Video Laryngoscope.
Turkish Journal of Anaesthesiology and Reanimation 2018 September
We herein report two expected difficult intubation cases that failed with an angulated-type video laryngoscope (C-MAC D-blade) and were rescued with a channelled-type Airtraq® device. The common signs and characteristics which indicated difficult ventilation and intubation in these patients were Mallampati 4 (with phonation), mandibular protrusion of B, obstructive sleep apnoea disorder, male gender, and thick neck (>46 cm). We had aids ready in the operating theatre for the anticipated difficult intubation. We first attempted to intubate the trachea in two patients with direct laryngoscopy; as expected, the Cormack-Lehane (CL) grades of the two patients were 4, even cricoid pressure was applied. Second, we attempted to intubate with the angulated-type C-MAC D-blade; the CL grades improved to 2. However, despite tube adjustment manoeuvres and use of a rigid stylet, we were unable to insert the tube into the trachea. Then, we attempted to intubate with a channelled-type Airtraq® device. Consequently, without need for a stylet or use of any manoeuvres, we were able to intubate the tracheas at the first attempt.
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