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CASE REPORT
Year : 2011  |  Volume : 27  |  Issue : 4  |  Page : 544-546

Use of intubating laryngeal mask airway in a morbidly obese patient with chest trauma in an emergency setting


1 Department of Anesthesia and Intensive Care, SGRDIMSR, Amritsar, India
2 Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Tripat Bindra
Department of Anesthesia and Intensive Care, 4735A, Corner Hut, Guru Nanak Wara, Amritsar, Punjab - 143 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.86605

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A morbidly obese male who sustained blunt trauma chest with bilateral pneumothorax was referred to the intensive care unit for management of his condition. Problems encountered in managing the patient were gradually increasing hypoxemia (chest trauma with multiple rib fractures with lung contusions) and difficult mask ventilation and intubation (morbid obesity, heavy jaw, short and thick neck). We performed awake endotracheal intubation using an intubating laryngeal mask airway (ILMA) size 4 and provided mechanical ventilation to the patient. This report suggests that ILMA can be very useful in the management of difficult airway outside the operating room and can help in preventing adverse events in an emergency setting.


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