Successful airway management in patient with <scp>G</scp>oldenhar's syndrome using <scp>T</scp>ruview <scp>PCD</scp><sup>®</sup> laryngoscope

Al-Abri, Azza; Khan, Rashid M.; Haris, Aziz; Kaul, Naresh

doi:10.1111/pan.12053

Cited by 10 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there exists a paucity of literature supporting the utilization of the TruView in the paediatric difficult airway cohort, but there are a few case reports, showing successful intubation in cases where previous intubation had failed. [ 57 58 ]…”

Section: Literature Appraisal and Evidencementioning

confidence: 99%

Evolution of videolaryngoscopy in pediatric population

Gupta¹,

Sharma²,

Gupta³

2021

Journal of Anaesthesiology Clinical Pharmacology

View full text Add to dashboard Cite

Direct laryngoscopy has remained the sole method for securing airway ever since the inception of endotracheal intubation. The recent introduction of video-laryngoscopes has brought a paradigm shift in the pratice of airway management. It is claimed that they improve the glottic view and first pass success rates in adult population. The airway management in children is more challenging than adults. The role of videolaryngoscopy for routine intubation in children is not clearly proven. This review attempts to discuss various videolaryngosocpes available for use in pediatric patients.

show abstract

Section: Literature Appraisal and Evidencementioning

confidence: 99%

Evolution of videolaryngoscopy in pediatric population

Gupta¹,

Sharma²,

Gupta³

2021

Journal of Anaesthesiology Clinical Pharmacology

View full text Add to dashboard Cite

show abstract

“…Two case reports have supported the use of the TruView PCD in children with difficult airways [54,55]. In both cases, one aged 7 months and the other an 8day-old premature infant, tracheal intubation was achieved where conventional laryngoscopy with straight and curved blades had failed.…”

Section: Clinical Evidencementioning

confidence: 98%

“…In both cases, one aged 7 months and the other an 8day-old premature infant, tracheal intubation was achieved where conventional laryngoscopy with straight and curved blades had failed. The port for continuous oxygen insufflation was commended in the neonate with apneic spells [55].…”

Section: Clinical Evidencementioning

confidence: 99%

Videolaryngoscopes in Paediatric Anaesthesia

Wallace

Engelhardt

2015

Curr Treat Options Peds

View full text Add to dashboard Cite

The use of videolaryngoscopy is an ever expanding and developing branch of both routine and advanced airway management. An array of 'tried and tested' videolaryngoscopes is increasingly being used routinely in adults. However, due to the anatomical differences between adults and children, the proposed benefits are not readily transferrable without supporting evidence. With an increase in paediatric-sized equipment, the last 10 years has seen a rise in the number of relevant clinical investigations in the use of videolaryngoscopes for paediatric airway management. This narrative review focuses on videolaryngoscopes currently available for paediatric patients. The supporting literature is analyzed for their clinical use and effectiveness.

show abstract

Anesthesia Challenges for the Difficult and Critical Neonatal Airway

Fiadjoe

Isserman

McCloskey

2014

Disorders of the Neonatal Airway

View full text Add to dashboard Cite

The larynx descends as children grow and is most cranially positioned in the neonate [ 1 ]. The high cervical position of the larynx is often described as being "anterior" because of the view obtained with direct laryngoscopy. Because of the high location of the glottis, straight blades are thought to offer better exposure of the larynx because of the ability to elevate the base of the tongue. Despite this, some clinicians prefer curved blades and use them successfully. Other consequences of the high location of the neonate's glottis include the tendency for laryngeal masks to become dislodged and inadvertent compression of the airway in the neck during bag-mask ventilation.The tongue in the neonate is relatively large and may obstruct the airway by adhering to the palate; relief can be obtained by opening the mouth or by applying continuous positive airway pressure (CPAP), to the airway via a bagmask device. An oral airway is rarely needed to open the airway of a neonate. The neonatal epiglottis is relatively short. This allows one to elevate the tip by simply placing the straight laryngoscope blade in the vallecula much like how a curved blade is used. The glossoepiglottic ligament located in the vallecula should be engaged with the tip of the straight blade in order to gain adequate glottic exposure. The vocal cords in the neonate are slanted rostrally as compared to the vocal cords in the adult. This can cause diffi culties in passing an endotracheal tube because the tip is already directed in an upward fashion to the anteriorly located larynx causing it to have a greater chance of being hung up at the anterior commissure or anterior tracheal wall. Classically, it has been taught the neonatal airway is funnel shaped, but a recent study suggests it may be tubular much like the adult airway [ 2 ]. Traditionally teaching is that the narrowest part of the neonatal/pediatric airway is at the cricoid ring and not at the vocal cords like the adult airway.Normal cardiopulmonary physiology can also make the management of the neonatal airway diffi cult.In the operating room (OR), the initial approach to a patient with a diffi cult airway is to perform an inhalational induction with a volatile anesthetic agent to allow for spontaneous ventilation. This can be done successfully in a neonate; however, the response is different due to differences in physiology. Theoretically, uptake of the volatile anesthetic can be delayed due to the relatively higher cardiac output; however, the higher minute ventilation and increased proportion of cardiac output to the brain in the neonate can actually increase the rate of induction. The faster rate of induction and effects on the neonatal brain subsequently leads to a faster decrease in respiratory function as compared to older children and adults (Fig. 1a ).Neonates are also more prone to develop hypoxia during the process of securing the airway due to differences in lung volumes and metabolic rate as compared to children and adults. In neonates, the functional residual capacity is ap...

show abstract

Successful airway management in patient with Goldenhar's syndrome using Truview PCD^® laryngoscope

Cited by 10 publications

References 5 publications

Evolution of videolaryngoscopy in pediatric population

Evolution of videolaryngoscopy in pediatric population

Videolaryngoscopes in Paediatric Anaesthesia

Anesthesia Challenges for the Difficult and Critical Neonatal Airway

Contact Info

Product

Resources

About

Successful airway management in patient with Goldenhar's syndrome using Truview PCD® laryngoscope

Cited by 10 publications

References 5 publications

Evolution of videolaryngoscopy in pediatric population

Evolution of videolaryngoscopy in pediatric population

Videolaryngoscopes in Paediatric Anaesthesia

Anesthesia Challenges for the Difficult and Critical Neonatal Airway

Contact Info

Product

Resources

About

Successful airway management in patient with Goldenhar's syndrome using Truview PCD^® laryngoscope