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Case Reports
. 2024 Sep 30;16(9):e70504.
doi: 10.7759/cureus.70504. eCollection 2024 Sep.

Bailey's Maneuver With an I-gel®: A Smooth Extubation in an At-Risk Cardiac Patient

Utkarshini Kedia  1 , Sankalp Goel  2
Affiliations
Case Reports

Bailey's Maneuver With an I-gel®: A Smooth Extubation in an At-Risk Cardiac Patient

Utkarshini Kedia et al. Cureus. .

Abstract

Each extubation requires careful monitoring due to the potential for complications such as increased airway reflexes and iatrogenic injuries. Here, we describe a case involving a Whipple's procedure for carcinoma of the head of the pancreas in a 71-year-old high-risk cardiac patient. The patient successfully underwent extubation using Bailey's maneuver, in conjunction with an I-gel® supraglottic airway device (SAD), without any exaggeration of the hemodynamic response. This technique allowed for a controlled and smooth extubation, ensuring cardiovascular stability in this high-risk case.

Keywords: bailey's maneuver; deep extubation; hemodynamic stability; high-risk cardiac; i-gel®; supraglottic airway device.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Patient's abnormal pre-operative ECG.
Yellow colored arrows: suspicious changes ECG, electrocardiogram
Figure 2
Figure 2. Bailey's maneuver with I-gel®.
A) Clinical image with I-gel® (orange arrow) and endotracheal tube (yellow arrow) in situ. B) Diagrammatic representation with both in situ. C) While  I-gel® is in situ (orange arrows), the endotracheal tube is being pulled out (yellow arrows). D) I-gel® (orange arrows) in situ with extubation of endotracheal tube (yellow arrows). Orange arrow: I-gel® supraglottic airway device (SAD); yellow arrow: endotracheal tube. Planes B, C, and D are the author's own creations.
See this image and copyright information in PMC

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