Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma

Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma

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A retropharyngeal mass may distort the airway anatomy and reduce the space available for manipulation of intubation devices.We encountered a patient with a cervical chordoma occupying the retropharyngeal space.Fiber-optic orotracheal intubation was attempted to secure the airway.Although the fiber-optic bronchoscope (FOB) was successfully placed into the trachea, the tracheal tube could not be passed through the glottis.

An airway Lighters was then successfully established with the Trachway device, a video-assisted system with a rigid but malleable intubating stylet.In conclusion, although Playing Cards a FOB is commonly used to secure a difficult airway, the present case report demonstrates that fiber-optic intubation is not always successful.Video intubation devices with a rigid stylet (such as Trachway) may be helpful in patients with a cervical chordoma.We suggest this device be available as backup for patients with distorted airway anatomy.