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British Journal of Anaesthesia, 2002, Vol. 89, No. 5 733-738
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Clinical Investigations

Fibreoptic tracheal intubation after placement of the laryngeal tube{dagger}

H. V. Genzwuerker*,1, T. Vollmer2 and K. Ellinger1

1 Department of Anaesthesiology and Intensive Care Medicine, University Hospital Mannheim, Theodor-Kutzer-Ufer 1–3, D-68167 Mannheim, Germany. 2 Department of Internal Medicine, Fuerst-Stirum-Hospital at Bruchsal, Gutleutstrasse 1–14, D-76646 Bruchsal, Germany *Corresponding author

{dagger}Results were presented in part as a poster at the Austrian International Congress 2001 and the R. Kucher Forum, Vienna, Austria, 12–14 September 2001.

Background. The laryngeal tube is a new alternative for securing the airway. After adequate oxygenation, insertion of a tracheal tube is still required in many situations. In such circumstances, fibreoptic placement of a tube exchange catheter after placement of the laryngeal tube is possible before tracheal intubation. Throughout the procedure, oxygen administration can continue via the laryngeal tube, the tube exchange catheter and the tracheal tube.

Methods. The feasibility of this technique was tested in 10 patients scheduled for elective surgery.

Results. The laryngeal tube was placed at the first attempt with adequate ventilation in all patients. The tube exchange manoeuvre was performed successfully in all but one patient.

Conclusion. This technique is an important alternative for airway management and provides a significant degree of patient safety.

Br J Anaesth 2002; 89: 733–8


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