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CASE REPORT
Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 30-32

An unusual use of the lightwand for awake tracheal intubation in a patient with anticipated difficult airway


Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Kurinchi Raja
Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru - 560 069, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_4_18

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The intubating lightwand is a useful device for airway management in a patient with failed direct laryngoscopy or intubation. We believe this device is underutilised. We present a patient scheduled for thyroidectomy for a multinodular goitre extending into the mediastinum, encasing major vessels, and producing displacement of the larynx and trachea to the right. As tracheostomy was not feasible, we performed a lightwand-guided bougie-assisted oral intubation following a failed trial of awake direct laryngoscopy.


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