A two-stage approach to induction and intubation of two infants with Pierre Robin Sequence using a LMA Classic™ and Air-Q®: two cases report

Korean Journal of Anesthesiology

T. Wesley Templeton¹  Yvon F. Bryan¹ 

[1] Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.;

关键词: airway management;    induction;    intubation;    pierre robin sequence;   

DOI  :  10.4097/kjae.2016.69.4.390

来源: DOAJ

【 摘 要 】

The laryngeal mask airway (LMA) Classic™ and Air-Q® are supralaryngeal devices used for airway management in routine and difficult pediatric airways. We describe a novel two-stage technique of insertion of the LMA Classic™ awake prior to induction of anesthesia, to assure oxygenation and ventilation, and after induction removal and placement of the Air-Q® for intubation using the flexible fiberoptic bronchoscope. The LMA Classic's™ pliable design and relatively small size allow it to be easily placed in awake infants. In contrast, the Air-Q® is an excellent device for intubation because of its larger internal diameter and removable 9 mm adapter. Our goal was to reduce unpredictability and potentially increase the safety of induction of anesthesia and intubation in infants with Pierre Robin sequence. By using these devices in a two-stage approach we created a technique for consistent oxygenation, ventilation, and intubation in these infants.

【 授权许可】

Unknown