Neonatal and paediatric fibre-optic laryngoscopy and bronchoscopy using the laryngeal mask airway

The Journal of Laryngology and Otology
A E HintonM E Wyatt

Abstract

Endoscopy of the upper airways in neonates and infants was traditionally been accomplished using rigid laryngoscopes and bronchoscopes. The laryngeal mask may be used both to control the airway for anaesthetic ventilation and to guide a fibre-optic endoscope to the laryngeal inlet and beyond. We report our experience with five neonatal and paediatric cases where fibre-optic laryngoscopy and bronchoscopy were performed through the laryngeal mask airway. All were cases in which standard rigid endoscopy had proved difficult with only a poor and restricted view of the laryngeal inlet being obtained due to the age of the infants, or abnormal anatomy of the upper airways. No problems have been encountered with maintenance of the airway or with endoscopic view obtained. In fact in neonatal patients, this technique has been found to be preferable with regard to safety and ease of use when compared to the ventilating bronchoscope. With the size 1 laryngeal mask airway it is not possible to simultaneously ventilate and endoscope the patient. Cases included, a vascular ring, Goldenhar's syndrome, laryngomalacia, supraglottis and vocal fold paresis. This technique provides a secure method of maintaining anaesthetic ventilation during airwa...Continue Reading

References

Sep 1, 1990·Anaesthesia·D G Mason, R M Bingham
Aug 1, 1983·British Journal of Anaesthesia·A I Brain
Jan 1, 1995·Acta Anaesthesiologica Scandinavica·T G HansenP Hole
Oct 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Asai, S Morris
Aug 1, 1994·Archives of Otolaryngology--head & Neck Surgery·M F WatchaR Lusk
Apr 1, 1994·Anaesthesia and Intensive Care·C M Johnson, C Sims
Dec 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A C WebsterM J Cook
Jan 1, 1993·Acta Anaesthesiologica Scandinavica·J O Dich-Nielsen, P Nagel
Mar 1, 1993·Anesthesia and Analgesia·M DubreuilC Ecoffey

❮ Previous
Next ❯

Citations

Jul 2, 2005·American Journal of Otolaryngology·Mostafa SomriLuis Gaitini
Apr 2, 2004·Pediatrics International : Official Journal of the Japan Pediatric Society·Bodo NiggemannAndreas Machotta
Feb 17, 2001·Pediatric Pulmonology·T Nicolai
Jun 13, 2002·Paediatric Anaesthesia·Gabriella IohomWilliam Casey
May 25, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ioannis MoumoulidisTom Wilson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.