Relevance of single-lumen endotracheal tube diameter and type of bronchial blocker for lung isolation in an emergent case

摘要

I’ve followed the topic of ‘'Airway management in Ludwig’s angina’’ in your valuable journal. As Fellini et al.' described, decision making regarding airway management in such a dis- astrous situation will be based on clinical feature, urgency of the case, and technical availability. There is a rule in our routine practice as anesthesiologists: there is not the safest anesthetic agent, nor the safest anesthetic technique; there is only safest anesthesiologist! So being an expert anesthe- siologist is the necessary condition, but not sufficient, for making a best decision for airway management in patients with compromised airway. Maintaining spontaneous breath- ing is a key element in airway management of a patient with compromised airway. Accordingly, when | read a letter of Guedes, | understood that the situation must have been com- pletely different.* Co-administration of clonidine, fentanyl and midazolam may put the patient at risk of collapsing the airway.