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  • Title: Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability.
    Author: Michalek P, Hodgkinson P, Donaldson W.
    Journal: Anesth Analg; 2008 May; 106(5):1501-4, table of contents. PubMed ID: 18420867.
    Abstract:
    We describe successful fiberoptic-guided tracheal intubation through the novel supraglottic "I-gel" airway in two uncooperative adult patients with genetic syndromes, learning disability, and predicted difficult airway, scheduled for complex dental treatment under general anesthesia. The I-gel maintained the airway immediately after induction, allowing oxygenation and ventilation. Location of the laryngeal inlet was successful on the first attempt with a fiberscope, and the tracheal tube was inserted into the trachea over the endoscope without complication in both patients. This report suggests another option for management of predicted difficult airways.
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