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[Airway access using an endotracheal tube changer for safe extubation in an infant with a difficult airway].
Masui. 2008 Feb; 57(2):167-70.M

Abstract

We present a case where airway access was maintained using an endotracheal tube changer (ETC) after extubation in an infant with a difficult airway. A 4-month-old male infant with bilateral cleft lip and palate, micrognathia, schizencephaly, undescended testis, and abnormality of chromosomes 10 was scheduled for bilateral cleft lip repair. After anesthesia induction with thiamylal and vecuronium, we found that laryngoscopy was difficult (Cormack and Lehane grade III) despite external laryngeal compression. Since there was no fiberoptic bronchoscopy for an infant in our department, and the fact that epiglottis could be visualized with external laryngeal compression, three anesthesiologists attempted tracheal intubation in turn and intubation was successful at last. The surgery was concluded uneventfully; but since endotracheal intubation had been difficult, special care was taken for extubation. We used an ETC for tracheal tube passing into the endotracheal tube at the time of extubation. Although using the ETC in infant with difficult airway for extubation remains controversial, we believe that for a difficult airway, even in an infant, a flexible ETC is a useful device for temporal airway access after extubation.

Authors+Show Affiliations

Department of Anesthesiology, Oita University, Faculty of Medicine, Oita, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

18277563

Citation

Kira, Shinichiro, et al. "[Airway Access Using an Endotracheal Tube Changer for Safe Extubation in an Infant With a Difficult Airway]." Masui. the Japanese Journal of Anesthesiology, vol. 57, no. 2, 2008, pp. 167-70.
Kira S, Miyakawa H, Mori M, et al. [Airway access using an endotracheal tube changer for safe extubation in an infant with a difficult airway]. Masui. 2008;57(2):167-70.
Kira, S., Miyakawa, H., Mori, M., Hidaka, S., Noguchi, T., & Fujisawa, H. (2008). [Airway access using an endotracheal tube changer for safe extubation in an infant with a difficult airway]. Masui. the Japanese Journal of Anesthesiology, 57(2), 167-70.
Kira S, et al. [Airway Access Using an Endotracheal Tube Changer for Safe Extubation in an Infant With a Difficult Airway]. Masui. 2008;57(2):167-70. PubMed PMID: 18277563.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Airway access using an endotracheal tube changer for safe extubation in an infant with a difficult airway]. AU - Kira,Shinichiro, AU - Miyakawa,Hiroshi, AU - Mori,Masakazu, AU - Hidaka,Seigo, AU - Noguchi,Takayuki, AU - Fujisawa,Hiroko, PY - 2008/2/19/pubmed PY - 2008/4/9/medline PY - 2008/2/19/entrez SP - 167 EP - 70 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 57 IS - 2 N2 - We present a case where airway access was maintained using an endotracheal tube changer (ETC) after extubation in an infant with a difficult airway. A 4-month-old male infant with bilateral cleft lip and palate, micrognathia, schizencephaly, undescended testis, and abnormality of chromosomes 10 was scheduled for bilateral cleft lip repair. After anesthesia induction with thiamylal and vecuronium, we found that laryngoscopy was difficult (Cormack and Lehane grade III) despite external laryngeal compression. Since there was no fiberoptic bronchoscopy for an infant in our department, and the fact that epiglottis could be visualized with external laryngeal compression, three anesthesiologists attempted tracheal intubation in turn and intubation was successful at last. The surgery was concluded uneventfully; but since endotracheal intubation had been difficult, special care was taken for extubation. We used an ETC for tracheal tube passing into the endotracheal tube at the time of extubation. Although using the ETC in infant with difficult airway for extubation remains controversial, we believe that for a difficult airway, even in an infant, a flexible ETC is a useful device for temporal airway access after extubation. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/18277563/[Airway_access_using_an_endotracheal_tube_changer_for_safe_extubation_in_an_infant_with_a_difficult_airway]_ L2 - https://medlineplus.gov/choking.html DB - PRIME DP - Unbound Medicine ER -