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JA Clinical Reports
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Open Access 01-12-2024 | Case report

Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae

Authors: Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito

Published in: JA Clinical Reports | Issue 1/2024

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Abstract

Background

Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia.

Case presentation

A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command.

Conclusion

We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.
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Metadata
Title
Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae
Authors
Hayato Arime
Takashi Asai
Asuka Fujishiro
Tomoyuki Saito
Publication date
01-12-2024
Publisher
Springer Berlin Heidelberg
Published in
JA Clinical Reports / Issue 1/2024
Electronic ISSN: 2363-9024
DOI
https://doi.org/10.1186/s40981-024-00757-6

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