앉은 체위에서 Intubating Laryngeal Mask Airway 를 거치한 후 시행한 기관절개술 - 증례 보고

The intubating laryngeal mask airway is a newly available device designed to allow for blind endotracheal intubation and treatment of patients with difficult airways. Emergency tracheostomies are required for oropharyngeal, hypopharyngeal, and laryngeal tumors acutely obstructing the airway. Patients with an airway obstructive tumor maintain their airway by a very active inspiratory effort in a sitting position. In these patients, it may be impossible to position them for a tracheostomy with shoulder extension. We report a case where a patient was tracheostomized successfully under general anesthesia with blind intubation via lLMA insertion in a sitting position. (Korean J Anesthesiol 2001; 41: 652-655)