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Fibreoptic laryngotracheoscopy via the laryngeal mask airway in children
Author(s) -
HOLMSTRÖM A.,
ÅKESON J.
Publication year - 1997
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1997.tb04672.x
Subject(s) - medicine , laryngeal mask airway , airway , endotracheal tube , endoscopy , laryngoscopy , anesthesia , laryngeal masks , larynx , endoscope , surgery , intubation
Background: Fibreoptic 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. Results: The 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. Conclusions: In 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.