this unsuccessful
fiberoptic attempt,
the patient was
becoming difficult to
ventilate," says Dr.
Chang, who had
another trick up his
scrub sleeve. "Luckily,
we switched to an
alternate fiberoptic
technique — inserting
the fiberoptic scope
through an intubating
LMA with an Aintree
catheter as our con-
duit — which let us
easily place a 7.0
endotracheal tube.
"The case drilled
home for me the con-
cept of a 'perfect tool'
for a perfect situation,
and the necessity of
being facile with
many different intuba-
tion techniques," says
Dr. Chang.
3. The difficult
airway letter
J U L Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 5 3
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