Orotracheal intubation through the laryngeal mask airway in paediatric patients with Treacher‐Collins syndrome
1995; Wiley; Volume: 5; Issue: 2 Linguagem: Inglês
10.1111/j.1460-9592.1995.tb00260.x
ISSN1460-9592
AutoresTakefumi Inada, Kumiko Fujise, Kazuya Tachibana, Koh Shingu,
Tópico(s)Head and Neck Surgical Oncology
ResumoSummary The laryngeal mask airway (LMA) is useful as an airway intubator (conduit) for an intubating tracheal bougie or fibreoptic bronchoscope, over which a tracheal tube is passed. However, in our paediatric patients with Treacher‐Collins syndrome, only the latter technique was successful. This was attributed to the fact that a posteriorly protruded tongue displaced the LMA, made the glottis move considerably anterior and interfered with the attempts to enter the trachea with a bougie. Downward displacement of the epiglottis, which can sometimes impair the intubation technique through the LMA, was not observed in our patients. Partial obstruction of a tracheal tube within the LMA occurred in one of the patients.
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