oa Southern African Journal of Anaesthesia and Analgesia - Use of gum elastic bougie through the intubating laryngeal mask airway : an unconventional way of securing the airway in an emergency : letter to the editor

Volume 19, Issue 4
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



The intubating laryngeal mask airway (LMA) has been advocated for use in expected difficult airways and adds the benefit of ventilation during intubation attempts with minimum neck movement during insertion. The Fastrach™ silicone wire-reinforced tube, a reusable and relatively expensive tube, has been designed to be used with the intubating LMA. Polyvinyl chloride (PVC) tubes and armoured tubes have been used with intubating LMAs. Concerns have been raised about the safety of this practice. A case of death due to airway trauma from the Fastrach™ silicone wire-reinforced tube has been reported. We present the case of a patient with ossified posterior longitudinal ligament, who we attempted to intubate with an intubating LMA, but an unexpected malfunction of the Fastrach™ silicone wire-reinforced tube forced us to resort to unconventional methods.

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