Work

Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae

Year: 2024

Type: article

Abstract: BACKGROUND: Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia. CASE PRESENTATION: A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command. CONCLUSION: We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.

Source: JA Clinical Reports

DOI: 10.1186/s40981-024-00757-6

Authors: Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito

Institution: Dokkyo Medical University Saitama Medical Center

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,290