Difficult intubation of a child through laryngeal mask airway with two tracheal tubes

Kendirli T., Ince E., Kavaz A., Ciftci E., Alanoglu Z., Dogru U.

ACTA PAEDIATRICA, vol.95, no.12, pp.1688-1690, 2006 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 95 Issue: 12
  • Publication Date: 2006
  • Doi Number: 10.1080/08035250600678802
  • Journal Name: ACTA PAEDIATRICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1688-1690
  • Eskisehir Osmangazi University Affiliated: No


Difficult tracheal intubation occurs infrequently. It is estimated that difficult laryngoscopy occurs in 1 - 2% of patients. Tracheal intubation of especially small infants can be challenging. When faced with a difficult airway, intubation through a laryngeal mask airway is one method of obtaining a secure airway. Here, we report a 23-mo-old girl with chronic lung disease and severe pneumonia, who was admitted to our paediatric intensive care unit. Since the patient could not be intubated by the standard method, because her larynx was up and forward, she was intubated successfully with a laryngeal mask airway through which two consecutive tracheal tubes were inserted.