• Paediatric anaesthesia · Apr 2015

    Case Reports

    A new twist in the pediatric difficult airway.

    • Edwardina M M A Lillie, Louise Harding, and Mark Thomas.
    • Anaesthesia Department, Guys and St Thomas' Hospital, London, UK.
    • Paediatr Anaesth. 2015 Apr 1;25(4):428-30.

    AbstractDifficult intubation of a 2.4 kg ex premature, suspected Pierre Robin Sequence with upper airway obstruction causing respiratory failure. Multiple failed intubation attempts by an experienced pediatric anesthetist using described techniques and adjuncts. A description of a simple new maneuvre using a GlideScope and a stylet. By twisting the stylet into a spiral shape, the endotracheal tube was given improved maneuverability that allowed the intubator to place the endotracheal tube tip to the glottis opening. Then by rotating the tube in a clockwise direction it could be manipulated past the vocal cords into the trachea.© 2014 John Wiley & Sons Ltd.

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