Successful Intubation Using the Airtraq Double Lumen with the Universal Adapter for Smartphones in a Case of Intubation Difficulty.

OBJECTIVE

The Universal Adapter for Smartphones c an record s till images and movies during intubation using the monitor display and recording functions of a smartphone. Here, we describe the successful use of the Airtraq Double Lumen with the Universal Adapter for Smartphones for airway management during anesthesia in a patient with intubation difficulty.

METHODS

A 78-year-old man required thoracoscopic upper lobectomy for a pulmonary tumor. Preoperative examination revealed micrognathia, mouth opening equivalent to a three-finger width, Mallampati Class II, mentum-hyoid bone distance equal to a 2.5-finger width, hyoid bone-thyroid cartilage distance equal to a two-finger width, and Class I findings in the Upper Lip Bite Test. After inducing anesthesia and confirming the feasibility of mask ventilation, we administered 70 mg of rocuronium and inserted the Airtraq Double Lumen. The Universal Adapter for Smartphones connected to a 4-inch iPod Touch was attached to its eye cup, through which the iPod Touch displayed images for easy visualization of the glottal area.

RESULTS

Prompt and smooth intubation with a 35-Fr double-lumen tube (DLT) was achieved. There were no adverse events associated with intubation.

CONCLUSION

Combination of the Universal Adapter for Smartphones and the Airtraq Double Lumen can facilitate smooth tracheal intubation with a DLT in cases of difficult intubation.