A two-stage approach to induction and intubation of two infants with Pierre Robin Sequence using a LMA ClassicTM and Air-QⓇ -two cases report-

다국어 초록 (Multilingual Abstract)

The laryngeal mask airway (LMA) ClassicTM 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 ClassicTM 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’sTM 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.

참고문헌 (Reference)

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