Difficult reintubation during a Fantoni's tracheostomy resolved using a laryngeal mask.

We report the failure of a reintubation under direct laryngoscopy, during a percutaneous tracheostomy by Fantoni method. After the accidental per-proc edural extubation and in front of an unpredicted difficult conventional end otracheal intubation, a laryngeal mask was used as an airway intubator cond uit for the blind passage of the set's ventilation tube. This ventilation t ube is a 40 cm long, 4 mm internal diameter special catheter with low press ure cuff, included into the TLT (TM) kit. The end of the procedure was unev entful. (C) 2001 Editions scientifiques et medicales Elsevier SAS.