Failed Tracheal Intubation with the LMA-CTrach™ in Two Patients with Lingual Tonsil Hyperplasia

Abstract

In Brief The LMA-CTrach™ combines the features of the Intubating Laryngeal Mask Airway™ with a fiberoptic system and a screen for visualization of the airway. Local pathology, such as lingual tonsillar hyperplasia, may obstruct the view of the airway leading to unanticipated difficult intubation. We present two cases of failed intubation with the LMA-CTrach in patients with lingual tonsillar hyperplasia. In both cases, the LMA-CTrach maintained adequate ventilation, giving time to prepare alternative strategies. IMPLICATIONS: The LMA CTrach™ is a new airway management device with a fiberoptic viewer that has proven useful for ventilation and intubation of patients with difficult airways. Local pathology, such as lingual tonsillar hyperplasia, may interfere with visualization of the larynx and passage of the endotracheal tube.