Laryngeal Mask Airway and Fiberoptic Endoscopy in an Infant with Schwartz-Jampel Syndrome

Difficult airway management in the neonate: a simple method of intubating through a laryngeal mask airway

“…When faced with a difficult airway, intubation through a laryngeal mask airway (LMA) is one method of obtaining a secure airway. There are several case reports of intubation through an LMA ( 1–6). Fibreoptic bronchoscopes play an important role in increasing the success rate of these attempts.…”

“…One problem with intubation through an LMA is the likelihood of dislodging the tracheal tube (TT) from the trachea during the removal of the LMA. Solutions to this problem include leaving the LMA in place ( 1), using a split LMA, threading a TT over a guidewire ( 4), or pushing two consecutive TTs through the shaft of the LMA ( 2, 5, 6).…”

Alternative Ventilation Strategies: Laryngeal Masks

“…The included studies were classified into eight levels of evidence by study design and methodology following a modification of the system described by the American Heart Association and International Liaison Committee on Resusci- Abouleish [42], Auden [43], Carenzi [44], Cortez [45], Ellis [46], Hansen [47], Hinton [48], Johr [49], Lesmes [50], Lonnqvist [51], Lopez-Gil [11], Markakis [52], Mecklem [53], Oliva [54], Park [55], Puebla [56], Shank [57], Theroux [58], Trevisanuto [59],…”

“…Sixteen case reports describe a total of 18 neonatal patients in whom a laryngeal mask was used as a lifesaving rescue airway during resuscitation when facemask ventilation and endotracheal intubation had been unsuccessful [24][25][26][27][28][29][30][31][32]34,[36][37][38][39][40][41]. Several additional reports describe the laryngeal mask used to guide intubation when direct laryngoscopy was unsuccessful [30,36,43,46,47,58,[61][62][63]. The ETT either was advanced blindly into the larynx through the mask or was advanced over a fiberoptic bronchoscope that had been placed through the mask.…”

The Laryngeal Mask Airway (LMA)

“…While no technique or device is guaranteed to be effective, the LMA has been used to manage the airways of children with many different types of congenital anomalies. These include the following: Freeman-Sheldon syndrome, 71 Pierre-Robin syndrome, 72,73 Schwartz-Jampel syndrome, 74 Beckwith-Wiedemann syndrome, 75 and laryngotracheo-esophageal clefts. 76 Many more congenital anomalies affecting airway anatomy are referenced in the bibliography at www.LMANA.com.…”