Nasotracheal intubation of a patient with restricted mouth opening using a McGrath MAC X-Blade and Magill forceps.
J Anesth
; 30(5): 904-6, 2016 10.
Article
in En
| MEDLINE
| ID: mdl-27342461
ABSTRACT
We experienced a case of successful nasotracheal intubation using the X-Blade of the McGrath MAC in a 28-year-old woman with a 2.5-cm mouth opening. She had no teeth on the right side, her neck movement was limited, her mandibular protrusion was grade C, and her Mallampati could not be evaluated. Her tongue was fixed to the left wall during a previous surgery. We evaluated the awake glottic view using the McGrath MAC X-Blade and topical oral anesthesia. We obtained a Cormack-Lehane grade II view and then decided to administer general anesthesia. Intubation was attempted with a Macintosh laryngoscope, but we could not insert the scope deeply enough and there was no area in which to insert the Magill forceps or endotracheal tube. We then used the X-Blade 3 of the McGrath MAC and obtained a sufficient area in which to insert the tube and manipulate the Magill forceps. A laryngoscopic view was achieved in 7 s and nasotracheal intubation was performed in 16 s with a 7.0-mm spiral tube using the Magill forceps. McGrath MAC X-Blade can be used with the Magill forceps in patients with restricted mouth opening with careful patient selection, in experienced hands.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Intubation, Intratracheal
/
Mouth
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
J Anesth
Journal subject:
ANESTESIOLOGIA
Year:
2016
Document type:
Article
Affiliation country:
Turkey