Sevoflurane induction of anesthesia in elderly patients

SpO2 was greater than 97%; 3) a tube exchanger catheter was inserted through the ET; 4) the LMA® and ET were withdrawn together; 5) an ET size ID 8 mm was threaded over the tube exchanger. With an unhurried approach we achieved safe control of the airway, with adequate oxygenation and mechanical ventilation in a few minutes. Use of the LMA plus a modified sequential technique proved to be an appropriate strategy to achieve airway control in this patient with an unanticipated difficult airway in an environment where all ancillary equipment and personel for managing this unexpected complication may not be available.