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  • Title: Airway management in a 980-lb patient: use of the Aintree intubation catheter.
    Author: Doyle DJ, Zura A, Ramachandran M, Lin J, Cywinski JB, Parker B, Marks T, Feldman M, Lorenz RR.
    Journal: J Clin Anesth; 2007 Aug; 19(5):367-9. PubMed ID: 17869989.
    Abstract:
    We report a 22-year-old, 980-lb (445 kg) man with a body mass index of 163 kg/m(2), who needed intubation for tracheotomy surgery, as he was profoundly hypercarbic and reliant on a tight-fitting continuous positive airway pressure mask. Attempts at oral and nasal fiberoptic intubation during topical anesthesia were unsuccessful because of poor patient cooperation and epistaxis. Thus, after awake placement of a size 5 Laryngeal Mask Airway ProSeal LMA; (LMA North America, San Diego, CA), we induced anesthesia using sevoflurane. Then we placed an Aintree stylet (Cook Critical Care, Bloomington, IN) over a fiberoptic bronchoscope, and both were introduced through the LMA into the trachea. We then removed the fiberoptic bronchoscope followed by the LMA. A Parker size 7.5 endotracheal tube was then "railroaded" over the Aintree catheter into the trachea.
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