Use of fiber optics in difficult intubations in young children
Andrieu-Guitrancourt, J.; Ensel, J.; Dehesdin, D.; Arrignon, J.
Annales d'Oto-Laryngologie et de Chirurgie Cervico Faciale Bulletin de la Societe d'Oto-Laryngologie des Hopitaux de Paris 101(6): 481-484
1984
ISSN/ISBN: 0003-438X PMID: 6508116 Document Number: 236436
Difficulties in performing laryngotracheal intubation may arise in patients with cervicofacial anomalies, particularly when young children are involved. Technical artifices usually employed in adults, mainly intubation under fibroscopic guidance, cannot be used in these cases. Intubation was performed in three children aged between 3 to 4 years by means of a guide-catheter previously introduced into the trachea by using the fibroscope working canal, a method that is particularly recommended, even in younger children. The type of anesthesia used must be adapted to these circumstances.