Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity
Management of an anticipated difficult airway relies heavily on flexible fiber-optic bronchoscope (FFB) guided awake intubations. In a pediatric patient with difficult airway, doing an awake procedure may be difficult, and hence the child is either deeply sedated or anesthesia is induced before atte...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=4;spage=414;epage=416;aulast=Naithani |
| _version_ | 1818842232452546560 |
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| author | Manish Naithani Alpna Jain Zainab Chaudhary |
| author_facet | Manish Naithani Alpna Jain Zainab Chaudhary |
| author_sort | Manish Naithani |
| collection | DOAJ |
| description | Management of an anticipated difficult airway relies heavily on flexible fiber-optic bronchoscope (FFB) guided awake intubations. In a pediatric patient with difficult airway, doing an awake procedure may be difficult, and hence the child is either deeply sedated or anesthesia is induced before attempting intubation with an appropriate sized FFB. We present the anesthetic management of a 6-year-old child with a lacerated tongue and fractured mandibular condyle, with subsequent inability to open his mouth, who was posted for urgent exploration and open reduction under anesthesia. Unhindered by a damaged pediatric FFB, we innovated by positioning the tip of an adult FFB just outside the larynx, passing a j-tipped guidewire through the working channel of the FFB, and successfully railroaded a naso-tracheal tube over the guidewire. The surgery, reversal and extubation, and the postoperative period were uneventful. |
| first_indexed | 2024-12-19T04:38:42Z |
| format | Article |
| id | doaj.art-f48eb83fcb0e423cade3272252bd8463 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-19T04:38:42Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-f48eb83fcb0e423cade3272252bd84632022-12-21T20:35:42ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2011-01-015441441610.4103/1658-354X.87272Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversityManish NaithaniAlpna JainZainab ChaudharyManagement of an anticipated difficult airway relies heavily on flexible fiber-optic bronchoscope (FFB) guided awake intubations. In a pediatric patient with difficult airway, doing an awake procedure may be difficult, and hence the child is either deeply sedated or anesthesia is induced before attempting intubation with an appropriate sized FFB. We present the anesthetic management of a 6-year-old child with a lacerated tongue and fractured mandibular condyle, with subsequent inability to open his mouth, who was posted for urgent exploration and open reduction under anesthesia. Unhindered by a damaged pediatric FFB, we innovated by positioning the tip of an adult FFB just outside the larynx, passing a j-tipped guidewire through the working channel of the FFB, and successfully railroaded a naso-tracheal tube over the guidewire. The surgery, reversal and extubation, and the postoperative period were uneventful.http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=4;spage=414;epage=416;aulast=NaithaniFlexible fiber-optic bronchoscopeguidewirepediatric difficult airwayworking channel |
| spellingShingle | Manish Naithani Alpna Jain Zainab Chaudhary Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity Saudi Journal of Anaesthesia Flexible fiber-optic bronchoscope guidewire pediatric difficult airway working channel |
| title | Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity |
| title_full | Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity |
| title_fullStr | Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity |
| title_full_unstemmed | Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity |
| title_short | Intubation in a pediatric difficult airway using an adult flexible fiber-optic bronchoscope and a j-tipped guidewire: An innovation in adversity |
| title_sort | intubation in a pediatric difficult airway using an adult flexible fiber optic bronchoscope and a j tipped guidewire an innovation in adversity |
| topic | Flexible fiber-optic bronchoscope guidewire pediatric difficult airway working channel |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=4;spage=414;epage=416;aulast=Naithani |
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