Yıl: 2021 Cilt: 49 Sayı: 1 Sayfa Aralığı: 78 - 82 Metin Dili: İngilizce DOI: 10.5152/TJAR.2020.00947 İndeks Tarihi: 11-10-2021

Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series

Öz:
Airway management in children with craniofacial anomalies can be complicated and may require multiple attempts with conventional direct laryngoscopy (DL). Videolaryngoscopes (VLs) have a well-established role in difficult airway management in adults; however, their role remains to be fully elucidated in paediatric age group. There is a relative paucity in the literature regarding the role of VLs in cases of syndromic children, and it is not clear whether they should be used as an initial option or as a rescue device. Herein, we report a series of cases of children with Pierre Robin sequence, Beckwith–Wiedemann syndrome, and Hurler’s syndrome wherein VLs proved beneficial after multiple failed DL attempts. Following initial failed attempts to intubate using DL, these children were subsequently intubated using VLs. Therefore, VLs should be used for initial intubation attempts in syndromic children with potential difficult airways.
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  • 1. Holm-Knudsen RJ, Rasmussen LS. Pediatric airway management: basic aspects. Acta Anaesthesiol Scand 2009; 53: 1‐9. [CrossRef]
  • 2. Fiadjoe JE, Nishisaki A, Jagannathan N, Hunyady AI, Greenberg RS, Reynolds PI, et al. Airway management complications in children with difficult tracheal intubation from the Pediatric Difficult Intubation (PeDI) registry: a prospective cohort analysis. Lancet Respir Med 2016; 4: 37‐48. [CrossRef]
  • 3. Graciano AL, Tamburro R, Thompson AE, Fiadjoe J, Nadkarni VM, Nishisaki A. Incidence and associated factors of difficult tracheal intubations in pediatric ICUs: A report from National Emergency Airway Registry for Children. Intensive Care Med 2014; 40: 1659-69. [CrossRef]
  • 4. Sun Y, Lu Y, Huang Y, Jiang H. Pediatric video laryngoscope versus direct laryngoscope: A meta-analysis of randomized controlled trials. Paediatr Anaesth 2014; 24: 1056-65. [CrossRef]
  • 5. Lingappan K, Arnold JL, Shaw TL, Fernandes CJ, Pammi M. Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates. Cochrane Database Syst Rev 2015; CD009975. [CrossRef]
  • 6. Shprintzen RJ. Pierre Robin, micrognathia and airway obstruction: the dependency of treatment on accurate diagnosis. Int Anesthesiol Clin 1985; 26: 64-71. [CrossRef]
  • 7. Asai T, Shingu K. Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes, and solutions. Br J Anaesth 2004; 92: 870-81. [CrossRef]
  • 8. Shar AE. Mechanisms of airway obstruction in Robin sequence: implications for treatment. Cleft Palate J 1992; 29: 224-31. [CrossRef]
  • 9. Priebe HJ. Should anesthesiologists have to confirm effective facemask ventilation before administering the muscle relaxant? J Anesth 2016; 30: 132-7. [CrossRef]
  • 10. Kim Y, Kim JE, Jeong DH, Lee J. Combined use of a McGrath® MAC video laryngoscope and Frova Intubating Introducer in a patient with Pierre Robin syndrome: a case report. Korean J Anesthesiol 2014; 66: 310-3. [CrossRef]
  • 11. Vlatten A, Soder C. Airtraq optical laryngoscope intubation in a 5-month-old infant with a difficult airway because of Robin Sequence. Paediatr Anaesth 2009; 19: 699-700. [CrossRef]
  • 12. Marston AP, Lander TA, Tibesar RJ, Sidman JD. Airway management for intubation in newborns with Pierre Robine sequence. Laryngoscope 2012; 122: 1401-4. [CrossRef]
  • 13. Channabasapa SM, Pradeep SH, Dharmapa S, Sarji D. Anesthetic management of a neonate with Beckwith- Wiedemann syndrome posted for repair of exomphalos. Saudi J Anaesth 2016; 10: 249-50. [CrossRef]
  • 14. Eaton J, Atiles R, Tuchman JB. Glidescope for management of the difficult airway in a child with Beckwith-Wiedemann syndrome. Paediatr Anaesth 2009; 19: 696-8. [CrossRef]
  • 15. Osthaus WA, Harendza T, Witt LH, Jüttner B, Dieck T, Grigull L, et al. Paediatric airway management in mucopolysaccharidosis 1: a retrospective case review. Eur J Anaesthesiol 2012; 29: 204-7. [CrossRef]
APA Gupta A, Gupta N, Kamal G, GIRDHAR K (2021). Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. , 78 - 82. 10.5152/TJAR.2020.00947
Chicago Gupta Anju,Gupta Nishkarsh,Kamal Geeta,GIRDHAR KIRAN KUMAR Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. (2021): 78 - 82. 10.5152/TJAR.2020.00947
MLA Gupta Anju,Gupta Nishkarsh,Kamal Geeta,GIRDHAR KIRAN KUMAR Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. , 2021, ss.78 - 82. 10.5152/TJAR.2020.00947
AMA Gupta A,Gupta N,Kamal G,GIRDHAR K Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. . 2021; 78 - 82. 10.5152/TJAR.2020.00947
Vancouver Gupta A,Gupta N,Kamal G,GIRDHAR K Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. . 2021; 78 - 82. 10.5152/TJAR.2020.00947
IEEE Gupta A,Gupta N,Kamal G,GIRDHAR K "Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series." , ss.78 - 82, 2021. 10.5152/TJAR.2020.00947
ISNAD Gupta, Anju vd. "Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series". (2021), 78-82. https://doi.org/10.5152/TJAR.2020.00947
APA Gupta A, Gupta N, Kamal G, GIRDHAR K (2021). Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. Turkish Journal of Anaesthesiology and Reanimation, 49(1), 78 - 82. 10.5152/TJAR.2020.00947
Chicago Gupta Anju,Gupta Nishkarsh,Kamal Geeta,GIRDHAR KIRAN KUMAR Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. Turkish Journal of Anaesthesiology and Reanimation 49, no.1 (2021): 78 - 82. 10.5152/TJAR.2020.00947
MLA Gupta Anju,Gupta Nishkarsh,Kamal Geeta,GIRDHAR KIRAN KUMAR Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. Turkish Journal of Anaesthesiology and Reanimation, vol.49, no.1, 2021, ss.78 - 82. 10.5152/TJAR.2020.00947
AMA Gupta A,Gupta N,Kamal G,GIRDHAR K Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. Turkish Journal of Anaesthesiology and Reanimation. 2021; 49(1): 78 - 82. 10.5152/TJAR.2020.00947
Vancouver Gupta A,Gupta N,Kamal G,GIRDHAR K Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series. Turkish Journal of Anaesthesiology and Reanimation. 2021; 49(1): 78 - 82. 10.5152/TJAR.2020.00947
IEEE Gupta A,Gupta N,Kamal G,GIRDHAR K "Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series." Turkish Journal of Anaesthesiology and Reanimation, 49, ss.78 - 82, 2021. 10.5152/TJAR.2020.00947
ISNAD Gupta, Anju vd. "Videolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series". Turkish Journal of Anaesthesiology and Reanimation 49/1 (2021), 78-82. https://doi.org/10.5152/TJAR.2020.00947