Difficult airway management with the STORZ video laryngoscope in a child with Robin Sequence

Vlatten, Arnim; Aucoin, Sylvie; Gray, Allison; Soder, Chris

doi:10.1111/j.1460-9592.2009.02987.x

Cited by 24 publications

(27 citation statements)

References 5 publications

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“…Published data in children suggests that video laryngoscopes are superior for intubation than traditional direct laryngoscopy in children with difficult direct laryngoscopy; 5,19,26 however, the gold standard for difficult airway management in this population remains the flexible fiberoptic bronchoscope. [27][28][29][30][31][32][33][34] We encourage future investigations in this area to compare the performance of video laryngoscopes with flexible fiberoptic intubation in children with difficult direct laryngoscopy.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Equivalence Trial of the GlideScope Cobalt® Video Laryngoscope to Traditional Direct Laryngoscopy in Neonates and Infants

Fiadjoe

Gurnaney²,

Dalesio³

et al. 2012

Anesthesiology

106

102

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Background: Intubation in children is increasingly performed using video laryngoscopes. Many pediatric studies examine novice laryngoscopists or describe single patient experiences. This prospective randomized nonblinded equivalence trial compares intubation time for the GlideScope Cobalt ® video laryngoscope (GCV, Verathon Medical, Bothell, WA) with direct laryngoscopy with a Miller blade (DL, Heine, Dover, NH) in anatomically normal neonates and infants. The primary hypothesis was that intubation times with GCV would be noninferior to DL. Methods: Sixty subjects presenting for elective surgery were randomly assigned to intubation using GCV or DL. Intubation time, time to best view, percentage of glottic opening score, and intubation success were documented. We defined an intubation time difference of less than 10 s as clinically insignificant. Results: There was no difference in intubation time between the groups (GCV median ϭ 22.6 s; DL median ϭ 21.4 s; P ϭ 0.24). The 95% one-sided CI for mean difference between the groups was less than 8.3 s. GCV yielded faster time to best view (median ϭ 8.1 s; DL 9.9 s; P ϭ 0.03). Endotra-

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Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Equivalence Trial of the GlideScope Cobalt® Video Laryngoscope to Traditional Direct Laryngoscopy in Neonates and Infants

Fiadjoe

Gurnaney²,

Dalesio³

et al. 2012

Anesthesiology

106

102

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“…A number of intubation techniques have been described in patients with PRS. These include awake intubation [13], use of the Airtrach Disposable Optical and Stortz DCI Video laryngoscopes [14,15], blind intubation using a lightwand [16], paraglossal approach with gum elastic bougie [17] and fibre-optic intubation, which in the authors' experience, is often easier via an LMA. Fortunately, these children become easier to manage as they grow up.…”

Section: Pierre Robin Sequencementioning

confidence: 99%

The child with facial abnormalities

Beer

Bingham²

2011

Current Opinion in Anaesthesiology

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“…1,13 Previous reports have described several techniques for airway management in patients with PRS. 2,[6][7][8][14][15][16] Nevertheless, during our literature review we could not find any report on the use of PDT for airway management in patients with PRS. The use of PDT for emergency airway management in a newborn is highly controversial.…”

Section: Discussionmentioning

confidence: 67%

“…1 Previously, several techniques have been described for management of difficult airway in patients with PRS. [6][7][8] However, to the best of our knowledge there are no reports on the use of percutaneous dilational tracheotomy (PDT) for airway management of patients with PRS. PDT is an established technique for airway management in adult critically ill patients who require prolonged mechanical ventilation.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Dilational Tracheotomy for Airway Management in a Newborn With Pierre-Robin Syndrome and a Glossopharyngeal Web

et al. 2012

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Pierre-Robin syndrome (PRS) is often associated with difficulty in endotracheal intubation. We present the use of percutaneous dilational tracheotomy (PDT) for airway management of a newborn with PRS and a glossopharyngeal web. A 2-day-old term newborn with PRS and severe obstructive dyspnea was evaluated by the anesthesiology team for airway management. A direct laryngoscopy revealed a glossopharyngeal web extending from the base of the tongue to the posterior pharyngeal wall. The infant was spontaneously breathing through a 2 mm diameter fistula in the center of this web. It was decided that endotracheal intubation was impossible, and a PDT was planned. The trachea of the newborn was cannulated, using a 20 gauge peripheral venous catheter and a 0.71 mm guide wire was introduced through this catheter. Using 5 French, 7 French, 9 French, and 11 French central venous catheter kit dilators, staged tracheotomy stoma dilation was performed. By inserting a size 3.0 tracheotomy cannula, PDT was successfully completed in this newborn. This case describes the successful use of PDT for emergency airway management of a newborn with PRS and glossopharyngeal web.

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Difficult airway management with the STORZ video laryngoscope in a child with Robin Sequence

Cited by 24 publications

References 5 publications

A Prospective Randomized Equivalence Trial of the GlideScope Cobalt® Video Laryngoscope to Traditional Direct Laryngoscopy in Neonates and Infants

A Prospective Randomized Equivalence Trial of the GlideScope Cobalt® Video Laryngoscope to Traditional Direct Laryngoscopy in Neonates and Infants

The child with facial abnormalities

Percutaneous Dilational Tracheotomy for Airway Management in a Newborn With Pierre-Robin Syndrome and a Glossopharyngeal Web

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