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Acta Anaesthesiol Scand · Feb 1997
Fibreoptic laryngotracheoscopy via the laryngeal mask airway in children.
- A Holmström and J Akeson.
- Department of Anaesthesia and Intensive Care, University Hospital, Malmö, Sweden.
- Acta Anaesthesiol Scand. 1997 Feb 1; 41 (2): 239-41.
BackgroundFibreoptic laryngotracheoscopy via the laryngeal mask airway-previously reported in adults but not in children-gives a better endoscopic view of the upper airway than does endoscopy via an endotracheal tube.MethodThe endoscopic procedure was carried out via a size 2 laryngeal mask in 4 spontaneously breathing children between 1 and 6 years old. Anaesthesia was induced and maintained with halothane in 50-100% oxygen.ResultsThe laryngeal mask was found to enable laryngotracheoscopy with a flexible 5.0-mm fibreoptic endoscope with no technical difficulties. Spontaneous ventilation could be readily preserved throughout the endoscopic procedure.ConclusionsIn children anaesthetized with halothane, flexible fibreoptic laryngotracheoscopy via a laryngeal mask is a useful method-offering technical advantages not achieved otherwise-provided that generally approved restrictions to the use of a laryngeal mask airway are taken into account.
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