Successful Endotracheal Intubation Using Suction-Assisted Laryngoscopy Assisted Decontamination Technique and a Head-Down Tilt Position during Massive Regurgitation

Choi, Insung; Choi, Young Woong; Han, Sang Hyuk; Lee, Ji Heui

doi:2020.26.2.75

Soonchunhyang Med Sci > Volume 26(2); 2020 > Article

Case Report

Soonchunhyang Medical Science 2020;26(2): 75-79. doi: https://doi.org/10.15746/sms.20.019

Successful Endotracheal Intubation Using Suction-Assisted Laryngoscopy Assisted Decontamination Technique and a Head-Down Tilt Position during Massive Regurgitation

Insung Choi, Young Woong Choi, Sang Hyuk Han, Ji Heui Lee

Department of Anesthesiology and Pain Medicine, Korea Cancer Center Hospital, Seoul, Korea

Corresponding Author: Ji Heui Lee ,Tel: +82-2-970-2161, Fax: +82-2-970-2413, Email: jiheui020255@gmail.com

Received: August 24, 2020; Accepted: November 16, 2020.

ABSTRACT

Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.

Key words: Airway management; Decontamination; Head-down tilt; Regurgitation