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