A new twist in the pediatric difficult airway |
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| Authors: | Edwardina M.M.A. Lillie Louise Harding Mark Thomas |
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| Affiliation: | 1. Anaesthesia Department, Guys and St Thomas' Hospital, London, UK;2. Anaesthesia Department, Great Ormond Street Hospital, London, UK |
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| Abstract: | Difficult intubation of a 2.4 kg ex premature, suspected Pierre Robin Sequence with upper airway obstruction causing respiratory failure. Multiple failed intubation attempts by an experienced pediatric anesthetist using described techniques and adjuncts. A description of a simple new maneuvre using a GlideScope and a stylet. By twisting the stylet into a spiral shape, the endotracheal tube was given improved maneuverability that allowed the intubator to place the endotracheal tube tip to the glottis opening. Then by rotating the tube in a clockwise direction it could be manipulated past the vocal cords into the trachea. |
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| Keywords: | infant congenital anomalies airway difficult airway devices techniques airway laryngoscopes equipment NICU critical care |
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