The success rate of tracheal intubation using the Pentax-AWS was high in patients with difficult laryngoscopy with a Macintosh laryngoscope and in patients with predicted difficult intubation.

Clinicians should consider postponing primary plastic surgery for cleft lip and palate in infants with a suspected presence of a common cold. Our results also suggest that the presence of a wide cleft is a risk factor for causing perioperative respiratory complications in infants with cleft lip and palate. We believe that a careful preoperative assessment of common cold symptoms in these infants can decrease the incidence of perioperative respiratory complications.

SIR IR-We thank the authors for their letter concerning our article (1). We agree with them, and this was the message of our analysis that the coma in these children was more likely due to inadequate latency between the pump purge and the implantation. We addressed the problem by allowing the sterile water purge to fully take place prior to filling the baclofen reservoir. We have alerted the company supplying the pumps to that effect and a warning has been sent to

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