[Successful tracheal intubation using the GlideScope AVL in a pediatric patient with Pierre Robin syndrome].

Abstract

We report a successful use of GlideScope AVL in a pediatric patient with Pierre Robin syndrome. A 36-day-old boy weighing 2.8 kg with Pierre Robin syndrome presented for tracheostomy after several weeks of trial airway management in prone position, who had failed to relieve his obstructive apnea. The Pentax-AWS videolaryngoscope equipped with the neonate Introck could not visualize his glottic opening. The GlideScope AVL single-use video laryngoscope equipping the #1 stat captured the view of the vocal cords. A tracheal tube (2.5 mm ID) with 90 degrees angled stylet, however, did not advance into the glottic opening, colliding with the anterior wall of the larynx and/or the laryngeal ventricle. Bending the tip of the stylet in a direction opposite to the inherent memory of the tube facilitated the placement of the tube into the trachea

• Authors: Hidetaka Iwai, Hideyuki Mouri, Yoshihiro Hirabayashi, Mamoru Takeuchi
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 63 Issue 6 Pg. 654-7 (Jun 2014) ISSN: 0021-4892 [Print] Japan
• PMID: 24979857 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Humans
• Infant
• Intubation, Intratracheal (instrumentation)
• Laryngoscopes
• Male
• Pierre Robin Syndrome (surgery)
• Tracheostomy
• Video-Assisted Surgery (instrumentation)