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- W2031910145 abstract "The laryngeal mask airway is increasingly being used in pediatric anesthesia (1-3). The placement of the laryngeal mask airway in children results in an acceptable airway in more than 90% of patients (1) on the first attempt and in almost 100% on subsequent attempts. Experience in its use has increased to a degree where it is now being used for patients in whom airway management is difficult, with no untoward effects reported in previously published case reports (4-10). In some of these cases, the laryngeal mask airway has been used instead of endotracheal intubation (5,10), but this may not always be possible and an endotracheal tube may be required. There have been case reports of the laryngeal mask airway being used to facilitate endotracheal tube placement using guides such as catheters (4) or light stylets (6). These were placed blindly and hence had a risk of not being correctly positioned. The problem-free use of a fiberoptic bronchoscope through a laryngeal mask has been described for diagnostic bronchoscopy in children (7) ; it has also been used with a guide wire to assist endotracheal intubation (8). In our cases, we assessed a technique using a laryngeal mask airway to facilitate the use of a fiberoptic bronchoscope to position a guide wire under direct visualization for directing the placement of an endotracheal tube (Fig. 1). This technique allows for the maintenance of both oxygenation and inhalational anesthesia during the positioning of the bronchoscope via the laryngeal mask airway, up to the moment of passing the endotracheal tube over the guide wire." @default.
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- W2031910145 date "1996-06-01" @default.
- W2031910145 modified "2023-09-27" @default.
- W2031910145 title "Fiberoptic-Guided Endotracheal Intubation via the Laryngeal Mask Airway in Pediatric Patients" @default.
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- W2031910145 doi "https://doi.org/10.1097/00000539-199606000-00032" @default.
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