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The case of a 33-day-old boy with Pierre Robin syndrome using a Cookⓡ airway exchange catheter in laryngeal mask airway-guided fiberoptic intubation is presented. After induction with sevoflurane, classical reusable laryngeal mask airway (LMA) #1 was inserted and ultrathin fiberoptic bronchoscope (FOB) was passed through. A Cookⓡ airway exchange catheter (1.6 mm ID, 2.7 mm OD) was passed through the LMA under the guidance of the FOB but failed to enter the trachea despite many trials. Then, an endotracheal tube (3.0 mm ID) was mounted on the FOB and railroaded over the FOB. After successful intubation, the Cookⓡ airway exchange catheter was placed in the midtrachea through the lumen of the endotracheal tube. Even though the tracheal tube was accidentally displaced out of the trachea during LMA removal, the endotracheal tube could be easily railroaded over the airway exchange catheter.

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참고문헌 (15건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Intubation of infants with Pierre Robin syndrome: the use of the paraglossal approach combined with a gum‐elastic bougie in six consecutive cases 네이버 미소장
2 Fiber-optic bronchoscopic guidance for intubating a neonate with Pierre-Robin syndrome 네이버 미소장
3 A new technique for fibreoptic intubation in children. 네이버 미소장
4 Fibreoptic intubation through a laryngeal mask airway in an infant with Robin sequence 네이버 미소장
5 Airway management in two of newborns with Pierre Robin Sequence: the use of disposable vs multiple use LMA for fiberoptic intubation 네이버 미소장
6 Orotracheal intubation of an infant with hemifacial microsomia using a modified lighted stylet. 네이버 미소장
7 Canadian pediatric anesthesiologists prefer inhalational anesthesia to manage difficult airways. 네이버 미소장
8 Selim M, Mowafi H, Al-Ghamadi A, Adu-Gyamfi Y. Intubation via LMA in pediatric patients with difficult airways. Can J Anaesth 1999; 46: 891-3. 미소장
9 Laryngeal mask for difficult intubation in children 네이버 미소장
10 Placement of a Cook airway exchange catheter via the laryngeal mask airway. 네이버 미소장
11 The laryngeal mask airway in infants. 네이버 미소장
12 Complications and fiberoptic assessment of size 1 laryngeal mask airway. 네이버 미소장
13 The laryngeal mask airway in children 네이버 미소장
14 Management of the difficult airway in children. 네이버 미소장
15 The difficult paediatric airway: a new method of intubation using the laryngeal mask airway, Cook airway exchange catheter and tracheal intubation fibrescope. 네이버 미소장