Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2002
Prediction of tracheal tube size in children using multiple variables.
Tracheal tube (TT) size selection in children is important to avoid complications. Formulae utilizing age and physical characteristics to predict appropriate tube size are not entirely predictive. ⋯ Prediction of TT size is best accomplished using multiple variables. Further prospective study is suggested.
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Paediatric anaesthesia · Jul 2002
Case ReportsSevere epiglottic prolapse and the obscured larynx at intubation.
Laryngomalacia is the most common congenital anomaly of the larynx and usually involves prolapse of the arytenoids, so-called 'posterior laryngomalacia'. Most cases resolve with growth of the child and maturation of the larynx, although, rarely, significant airway obstruction can be present. Severe laryngomalacia preventing intubation is rarely encountered. ⋯ The child was referred with a diagnosis of laryngeal atresia on the basis of the intubating laryngoscopic view of no apparent epiglottis or laryngeal inlet. The child was transferred with a tube in the oesophagus that kept the child oxygenated. At the time, oxygenation was felt to be due to a coexisting tracheo-oesophageal fistula, although this was eventually found not to be the case.