Airway Management Using McGrath MAC in a Pediatric Patient with a Laryngeal Saccular Cyst
Yamada, R.; Mitono, H.; Sugiyama, Y.; Kawamata, M.
Masui. Japanese Journal of Anesthesiology 64(2): 154-156
2015
ISSN/ISBN: 0021-4892 PMID: 26121807 Document Number: 679445
An 18-month-old female infant was scheduled for resection of a laryngeal saccular cyst inducing narrow airway. Since the cyst protruded from the left side of the epiglottis and the vocal cord was compressed to the right side, a difficult airway was anticipated. In addition, there was a risk of tracheal occlusion by rupture of the cyst Awake intubation was considered to be dangerous. Slow induction with sevoflurane and neuromusclar blockade was attempted, preparing reversal of the neuromusclar blockade. Fortunately, mask ventilation was achieved without difficulty. It was necessary to insert a tracheal tube avoiding the cyst We used McGrath MAC (Aircraft Medical Co., UK), which enabled us to manipulate the tracheal tube. A tracheal tube was successfully inserted under McGrath monitor guidance.