A two-stage approach to induction and intubation of two infants with Pierre Robin Sequence using a LMA Classic™ and Air-Q®: two cases report.
10.4097/kjae.2016.69.4.390
- Author:
T Wesley TEMPLETON
1
;
Yvon F BRYAN
Author Information
1. Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA. ybryan@wakehealth.edu
- Publication Type:Case Report
- Keywords:
Airway management;
Induction;
Intubation;
Pierre robin sequence
- MeSH:
Airway Management;
Anesthesia;
Bronchoscopes;
Humans;
Infant*;
Intubation*;
Laryngeal Masks;
Oxygen;
Pierre Robin Syndrome*;
Ventilation
- From:Korean Journal of Anesthesiology
2016;69(4):390-394
- CountryRepublic of Korea
- Language:English
-
Abstract:
The laryngeal mask airway (LMA) Classic™ and Air-Q® are supralaryngeal devices used for airway management in routine and difficult pediatric airways. We describe a novel two-stage technique of insertion of the LMA Classic™ awake prior to induction of anesthesia, to assure oxygenation and ventilation, and after induction removal and placement of the Air-Q® for intubation using the flexible fiberoptic bronchoscope. The LMA Classic's™ pliable design and relatively small size allow it to be easily placed in awake infants. In contrast, the Air-Q® is an excellent device for intubation because of its larger internal diameter and removable 9 mm adapter. Our goal was to reduce unpredictability and potentially increase the safety of induction of anesthesia and intubation in infants with Pierre Robin sequence. By using these devices in a two-stage approach we created a technique for consistent oxygenation, ventilation, and intubation in these infants.
