Tracheal intubation using a guide wire for a 5-month-old baby with epiglottic cyst
Koga, T.; Shimoda, O.; Terasaki, H.
Masui. Japanese Journal of Anesthesiology 53(1): 79-81
2004
ISSN/ISBN: 0021-4892 PMID: 14968610 Document Number: 584229
We report anesthetic management for a 5-month-old baby with an epiglottic cyst causing stenosis of the upper airway and growth failure. A flexible guide wire was first inserted into the trachea through the forceps port of the fiberoptic bronchoscope (O.D. 3.5 mm) nasally. After removal of the bronchoscope, the trachea was then successfully intubated with a trachea tube (I.D. 3.5 mm) passed over it. His symptom improved after removal of the cyst. A flexible guide wire combined with fiberoptic bronchoscope is useful in tracheal intubation for a baby with a difficult airway.