Abstract
Pediatric intubation is an often occurring practice in pediatric anesthesia. However, this does not mean this procedure to be entirely safe. Despite its long history there are still discussions going on whether the epiglottis should be uploaded with the tip of the blade of the laryngoscope or not. Endoscopic evidence has shown that this uploading can injure the mucosa significantly as well as narrow the entrance to the glottis, impeding the advance of tracheal tube which might injure the vocal cords particularly. With more frequent use of simple optical instruments the already high standard of safety in pediatric intubation could be improved.
Keywords
Pediatric intubation Intubation injuries Endoscopic control of intubation traumaReferences
- 1.Safar P, Lind B (1973) Triple airway maneuver, artificial ventilation and oxygen inhalation mouth to mask and bag-valve-mask techniques. In: Proceedings of the national conference on CPRGoogle Scholar
- 2.Cave DM et al.(2013) Importance of implementation of training. Circ 123:691–706Google Scholar
- 3.Breivik H, Ulvik NM, Blikra G et al (1980) Life-supporting first aid self-training. Crit Care Med 8:654–658PubMedGoogle Scholar
- 4.Coté CJ, Lerman J, Todres ID (2009) A practice of anesthesia for infants and children, Saunders. ISBN 978-1-4160-3134-5Google Scholar
- 5.Motoyama EK, Davis PJ (2006) Anesthesia for infants and children, 7th edn. Mosby inc., Philadelphia Google Scholar
- 6.Doherty JS et al (2009) Pediatric laryngoscopes and intubation aides old and new. J Pediatr Anesth 19(Suppl. 1):30–37CrossRefGoogle Scholar
- 7.Holzki J, Laschat M, Puder C (2009) Iatrogenic damage to the pediatric airway. Mechanisms and scar development. Pediatr Anesth 19(Suppl. 1):131–146CrossRefGoogle Scholar
- 8.Holzki J, Laschat M, Puder C (2009) Stridor is not a scientifically valid outcome measure for assessing airway injury. Pediatr Anesth 19(Suppl. 1):180–197CrossRefGoogle Scholar
- 9.Bayeux R (1897) Tubage de larynx dans le Croup. Presse Med 20:1–4Google Scholar
- 10.Eckenhoff JE (1951) Some anatomic considerations of the infant larynx influencing endotracheal anesthesia. Anesthesiology 12:401–410PubMedCrossRefGoogle Scholar
- 11.Tucker GF, Tucker JA, Vidic B (1977) Anatomy and development of the cricoid: serial-section whole organ study of perinatal larynges. Ann Otol Rhinol Laryngol 86:766–769PubMedGoogle Scholar
- 12.Wheeler M, Coté CJ,Todres ID (2009) The pediatric airway. In: Coté CJ, Lerman J, Todres ID (eds) A practice of anesthesia for infants and children, 4th edn. Saunders Elsevier, Philadelphia, pp 238–243Google Scholar
- 13.Holinger LD, Holinger LD, Lusk RP, Green CG (1997) Pediatric laryngology and bronchoesophagology. Lippincott-Raven, Philadelphia, pp 19–26Google Scholar
- 14.Litman RS et al (2003) Developmental changes of laryngeal dimensions in unparalysed, sedated patients. Anesthesiology 98:41–45PubMedCrossRefGoogle Scholar
- 15.Dalal PG, Murray D, Messner AH, Feng A, McAllister J, Molter D (2009) Pediatric laryngeal dimensions: an age-based analysis. Anesth Analg 108:1475–1479PubMedCrossRefGoogle Scholar
- 16.Kaufmann J, Laschat M et al (2013) A randomised, controlled comparison of the Bonfils fiberscope and the GlideScope Cobalt AVL video laryngoscope for visualization of the larynx and intubation of the trachea in infants and small children with normal airways. Pediatr Anesth 23:913–19 Google Scholar
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