PMID: 8956751Dec 1, 1996Paper

Pediatric flexible fiberoptic bronchoscopy through the laryngeal mask airway

Archives of Otolaryngology--head & Neck Surgery
D E Tunkel, Q A Fisher

Abstract

To determine the usefulness and safety of the laryngeal mask airway (LMA) as an adjunct to pediatric flexible fiberoptic bronchoscopy (FOB). A case-series retrospective study. Pediatric otolaryngology tertiary referral center, outpatient and inpatient operating suites. Retrospective review of charts of children who had FOB performed with the use of LMA by the pediatric otolaryngology service. The patients were ages 3 months to 18 years with respiratory symptoms requiring FOB for diagnosis. Use of LMA to support airway during FOB with spontaneous ventilation with the patients under general anesthesia. Ability to perform airway evaluation with FOB and LMA; number and type of complications. Seventeen patients, ages 3 months to 18 years (median age, 39 months) underwent FOB with use of LMA. In 2 patients use of LMA failed-1 from airway obstruction with LMA in place, which required intubation, and another who could not have LMA appropriately placed. Fifteen patients underwent uncomplicated FOB through the LMA. None of these 15 patients required unplanned endotracheal intubation. Two patients with mandibular hypoplasia required LMA use for airway evaluation when the glottis could not be visualized at direct laryngoscopy. The LMA is a...Continue Reading

Citations

Nov 28, 2012·International Journal of Critical Illness and Injury Science·Yulia Ivashkov, Sanjay M Bhananker
Jan 16, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·H P BandlaM P Kiernan
Apr 1, 2005·Acta Oto-laryngologica·J P Windfuhr, S Remmert
Nov 24, 2004·Pediatric Pulmonology·Maggie L NaguibSamya Z Nasr
Aug 15, 2001·Chest·E Nussbaum, M Zagnoev
Aug 15, 2000·Critical Care Clinics·R J Levy, M A Helfaer
Apr 2, 2004·Pediatrics International : Official Journal of the Japan Pediatric Society·Bodo NiggemannAndreas Machotta
Jul 2, 2005·American Journal of Otolaryngology·Mostafa SomriLuis Gaitini
Feb 17, 2001·Pediatric Pulmonology·T Nicolai
Jun 8, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T HiraiT Fukuoka
Oct 26, 2000·European Journal of Anaesthesiology·Y OkudaT Asai

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