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A fibreoptic laryngoscope for paediatric anaesthesia
Author(s) -
WRIGLEY S. R.,
BLACK A. E.,
SIDHU V. S.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb06100.x
Subject(s) - laryngospasm , medicine , tracheal tube , tracheal intubation , laryngoscopy , anesthesia , intubation , general anaesthesia , fiberscope , epiglottis , surgery , larynx , airway
Summary A technique for the use of the Olympus LF‐P as an aid to tracheal intubation, via the oral route, in 40 anaesthetised, spontaneously breathing children is described. The technique was completely successful in 30 (75%) of the children. Complications occurred in the remaining ten (25%); two developed laryngospasm and in seven the fibrescope flipped out of the trachea during the initial passage of the tracheal tube over the fibrescope. In one child the wrong tracheal tube was initially chosen. The two children who developed laryngospasm and three of the children in whom the fibrescope flipped out of the trachea required conventional laryngoscopy and tracheal intubation. Whilst this technique allowed for training in the use of the LF‐P in paediatric anaesthesia there were a number of complications.