AI Article Synopsis
- Airway management in children with craniofacial anomalies can be challenging, often requiring multiple tries with traditional direct laryngoscopy (DL).
- Videolaryngoscopes (VLs) are known to help with difficult airways in adults, but their effectiveness for children, especially those with syndromic conditions, is not completely understood.
- A report on cases of children with specific syndromes shows that VLs were successful for intubation after failed attempts with DL, suggesting that VLs should be considered for initial intubation attempts in these high-risk patients.
Article Abstract
Airway management in children with craniofacial anomalies can be complicated and may require multiple attempts with conventional direct laryngoscopy (DL). Videolaryngoscopes (VLs) have a well-established role in difficult airway management in adults; however, their role remains to be fully elucidated in paediatric age group. There is a relative paucity in the literature regarding the role of VLs in cases of syndromic children, and it is not clear whether they should be used as an initial option or as a rescue device. Herein, we report a series of cases of children with Pierre Robin sequence, Beckwith-Wiedemann syndrome, and Hurler's syndrome wherein VLs proved beneficial after multiple failed DL attempts. Following initial failed attempts to intubate using DL, these children were subsequently intubated using VLs. Therefore, VLs should be used for initial intubation attempts in syndromic children with potential difficult airways.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932707 | PMC |
| http://dx.doi.org/10.5152/TJAR.2020.00947 | DOI Listing |
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