TY - CHAP M1 - Book, Section TI - Chapter 35. Intra-Operative Accidental Dislodgement of the Endotracheal Tube in a Patient in Prone Position A1 - Drapeau, Dennis A1 - Hung, Orlando R. A2 - Hung, Orlando A2 - Murphy, Michael F. PY - 2012 T2 - Management of the Difficult and Failed Airway, 2e AB - A 50-year-old obese man (120 kg, 173 cm, BMI 40 kg·m−2) was scheduled for lumbar spine instrumentation. Preoperative airway examination revealed no obvious indicators of difficult laryngoscopic intubation apart from the fact that he had a beard. Following induction of anesthesia with fentanyl, propofol, and rocuronium, a Cormack/Lehane Grade 2 laryngoscopic view was obtained with a #3 Macintosh blade. Laryngoscopic intubation was achieved easily while using backward, upward, and rightward pressure (BURP) externally on the larynx. After securing the endotracheal tube (ETT), the patient was then turned into the prone position for the surgical procedure. Two hours after the start of surgery, and after 1500 mL of blood loss and the administration of 4000 mL of crystalloid, a leak in the ventilation system was identified. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/12 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=55870814 ER -