Improvement of the visualization of larynx and successful intubation with Airtraq ® optical laryngoscope in nine neonates, infants and children with difficult airway
Journal: The Greek E-Journal of Perioperative Medicine (Vol.11, No. 1)Publication Date: 2013-08-13
Authors : Iordanidou D; Ntavlis M; Kachri manidou P; Tholioti T; Vranas D; Damianidis E.;
Page : 60-73
Keywords : Airtraq®; Children; Difficult Airway; Infants; Neonates;
Abstract
The goal of this observesional study was to evaluate the improvement of the visual view of the larynx in neonates, infants and children with difficult airway using the Airtraq® Optical Laryngoscope, compared with visual views of the first conventional laryngoscopy with Macintosh blade. We studied clinical and/or laryngoscopic manifestations of difficult airway and advanced airway management of nine consecutive pediatric patients (2 neonates, 5 infants and 2 children) admitted from 1/1/2011 to 31/08/2012 for elective/emergency surgery or diagnostic procedure under general anesthesia. All nine pediatric patients had successful airway management and intubation, using the Airtraq® Optical Laryngoscope after intubation failure following conventional laryngoscopy. The percentage of glottis opening (POGO), the laryngoscopy difficulty level according to Cormack-Lehane Grade and the Visual Analogue Scale (VAS) of easiness in recognizing the laryngeal structures improved using of Airtraq® Optical Laryngoscope at 2nd attempt. Airtraq® Optical Laryngoscope could be a first-line device for intubation of neonates, infants and children with difficult airway.
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