Tracheal Intubation with Aura-i and aScope-2: How to Minimize Apnea Time in an Unpredicted Difficult Airway

The supraglottic airway’s usefulness as a dedicated airway is the subject of continuing development. We report the case of an obese patient with unpredicted difficult airway management in which a new “continuous ventilation technique” was used with the Aura-i laryngeal mask and the aScope-2 devices....

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Bibliographic Details
Main Authors: Vittorio Pavoni, Valentina Froio, Alessandra Nella, Martina Simonelli, Lara Gianesello, Andrew Horton, Luca Malino, Massimo Micaglio
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2015/453547
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Summary:The supraglottic airway’s usefulness as a dedicated airway is the subject of continuing development. We report the case of an obese patient with unpredicted difficult airway management in which a new “continuous ventilation technique” was used with the Aura-i laryngeal mask and the aScope-2 devices. The aScope-2/Aura-i system implemented airway devices for the management of predictable/unpredictable difficult airway. The original technique required the disconnection of the mount catheter from Aura-i, the introduction of the aScope-2 into the laryngeal mask used as a conduit for video assisted intubation and then towards the trachea, followed by a railroading of the tracheal tube over the aScope-2. This variation in the technique guarantees mechanical ventilation during the entire procedure and could prevent the risk of hypoventilation and/or hypoxia.
ISSN:2090-6382
2090-6390