Management of Anesthesia under Extracorporeal Cardiopulmonary Support in an Infant with Severe Subglottic Stenosis

A 4-month-old female infant who weighed 3.57 kg with severe subglottic stenosis underwent tracheostomy under extracorporeal cardiopulmonary support. First, we set up extracorporeal cardiopulmonary support to the infant and then successfully intubated an endotracheal tube with a 2.5 mm inner diameter before tracheostomy by otolaryngologists. Extracorporeal cardiopulmonary support is an alternative for maintenance of oxygenation in difficult airway management in infants.

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A Broken Arrow: a rare complication of Endotracheal tube introducer

10.36811/ojprm.2019.110002 ◽

2019 ◽

pp. 04-06

Author(s):

Shyh Shyong Sim ◽

Cheng Hung How ◽

Bo-Hwi Kang

Keyword(s):

Airway Management ◽

Difficult Airway ◽

Endotracheal Tube ◽

Rare Complication ◽

Mechanical Trauma ◽

Difficult Airway Management

Complications from endotracheal tube introducer are rare and mostly involved mechanical trauma to airway structures. We report a rare complication while using endotracheal tube introducer during difficult airway management, which, we believed it was fragile after repeated sterilization.

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Difficult Airway Management in Neonates and Infants: Knowledge of Devices and a Device-Oriented Strategy

Frontiers in Pediatrics ◽

10.3389/fped.2021.654291 ◽

2021 ◽

Vol 9 ◽

Author(s):

Teiji Sawa ◽

Atsushi Kainuma ◽

Koichi Akiyama ◽

Mao Kinoshita ◽

Masayuki Shibasaki

Keyword(s):

Airway Management ◽

Difficult Airway ◽

Airway Device ◽

Supraglottic Airway ◽

Outer Diameter ◽

Difficult Airway Management ◽

Supraglottic Airway Device ◽

Endotracheal Tubes ◽

Inner Diameter ◽

Neonates And Infants

Difficult airway management (DAM) in neonates and infants requires anesthesiologists and critical care clinicians to respond rapidly with appropriate evaluation of specific situations. Therefore, organizing information regarding DAM devices and device-oriented guidance for neonate and infant DAM treatment will help practitioners select the safest and most effective strategy. Based on DAM device information and reported literature, there are three modern options for DAM in neonates and infants that can be selected according to the anatomical difficulty and device-oriented strategy: (1) video laryngoscope (VLS), (2) supraglottic airway device (SAD), and (3) flexible fiberoptic scope (FOS). Some VLSs are equipped with small blades for infants. Advanced SADs have small sizes for infants, and some effectively function as conduits for endotracheal intubation. The smallest FOS has an outer diameter of 2.2 mm and enables intubation with endotracheal tubes with an inner diameter of 3.0 mm. DAM in neonates and infants can be improved by effectively selecting the appropriate device combination and ensuring that available providers have the necessary skills.

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GlideScope and Frova Introducer for Difficult Airway Management

Case Reports in Anesthesiology ◽

10.1155/2013/717928 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Alessandra Ciccozzi ◽

Chiara Angeletti ◽

Cristiana Guetti ◽

Roberta Papola ◽

Paolo Matteo Angeletti ◽

...

Keyword(s):

Clinical Practice ◽

Airway Management ◽

Difficult Airway ◽

Endotracheal Tube ◽

Success Rate ◽

Difficult Intubation ◽

Difficult Airway Management ◽

Vocal Cords ◽

Glidescope Videolaryngoscope

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles that may occur both in a difficult provided intubation such as those unexpected, associated endotracheal introducer able to facilitate the passage of the endotracheal tube through the vocal cords into the trachea may be useful. We report 4 cases of difficult intubation planned and unplanned and completed successfully using the GlideScope videolaryngoscope associated with endotracheal Frova introducer.

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