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Case Reports in Anesthesiology
Volume 2015, Article ID 453547, 4 pages
http://dx.doi.org/10.1155/2015/453547
Case Report

Tracheal Intubation with Aura-i and aScope-2: How to Minimize Apnea Time in an Unpredicted Difficult Airway

1Department of Anesthesia and Intensive Care, University-Hospital Careggi, Largo Brambilla 3, 50134 Firenze, Italy
2Faculty Practice Group, University of California, Los Angeles, CA 90095, USA
3Ambu Srl, Via Paracelso 18, Agrate Brianza, 20041 Milano, Italy

Received 23 July 2014; Revised 5 December 2014; Accepted 24 December 2014

Academic Editor: Pavel Michalek

Copyright © 2015 Vittorio Pavoni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The supraglottic airway’s usefulness as a dedicated airway is the subject of continuing development. We report the case of an obese patient with unpredicted difficult airway management in which a new “continuous ventilation technique” was used with the Aura-i laryngeal mask and the aScope-2 devices. The aScope-2/Aura-i system implemented airway devices for the management of predictable/unpredictable difficult airway. The original technique required the disconnection of the mount catheter from Aura-i, the introduction of the aScope-2 into the laryngeal mask used as a conduit for video assisted intubation and then towards the trachea, followed by a railroading of the tracheal tube over the aScope-2. This variation in the technique guarantees mechanical ventilation during the entire procedure and could prevent the risk of hypoventilation and/or hypoxia.