[The intubating laryngeal mask for a patient with cerebrospinal fluid rhinorrhea and pneumocephalus]

Masui. 2003 Feb;52(2):167-9.
[Article in Japanese]

Abstract

A 53-year-old male was scheduled for repairs of cerebrospinal fluid (CSF) rhinorrhea and pneumocephalus under general anesthesia. He had undergone a neck clipping for a ruptured anterior communicating aneurysm 13 days before. As he had a difficult airway, Trachlight was used for successful tracheal intubation. To avoid tension pneumocephalus, an intubating laryngeal mask (ILM) was inserted with rapid sequence induction without positive pressure ventilation. A 7.0 mm ID straight silicone reinforced tube was then inserted through the ILM using a fiberscope. A fiberscope guided tracheal intubation via the ILM is recommended for patients with CSF rhinorrhea and pneumocephalus especially when the trachea is difficult to intubate under direct laryngoscopy.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Anesthesia, General*
  • Cerebrospinal Fluid Rhinorrhea* / etiology
  • Humans
  • Intracranial Aneurysm / surgery
  • Intubation, Intratracheal
  • Laryngeal Masks*
  • Male
  • Middle Aged
  • Pneumocephalus* / etiology
  • Postoperative Complications*