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Fiber-optic bronchoscopic guidance for intubating a neonate with Pierre-Robin syndrome.

Authors
  • Scheller, J G1
  • Schulman, S R
  • 1 Department of Anesthesiology, University of California, Davis Medical Center, Sacramento.
Type
Published Article
Journal
Journal of clinical anesthesia
Publication Date
Jan 01, 1991
Volume
3
Issue
1
Pages
45–47
Identifiers
PMID: 2007042
Source
Medline
Language
English
License
Unknown

Abstract

The Pierre-Robin anomalad features micrognathia, glossoptosis, and frequently a cleft palate. Tracheal intubation may be challenging and sometimes impossible. Reported is a case in which a tracheal guide wire was passed via the suction port of a flexible pediatric bronchoscope. The bronchoscope was then removed, and an endotracheal tube was threaded over the wire. The technique is safe and allows rapid endotracheal intubation in pediatric patients with difficult upper airways.

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