Guidelines for Elective Pediatric Fiberoptic Intubation

被引：6

作者：

Kaddoum, Roland N. ^{[1
]}

Ahmed, Zulfiqar ^{[2
]}

D'Augsutine, Alan A. ^{[2
]}

Zestos, Maria M. ^{[3
]}

机构：

[1] St Jude Childrens Res Hosp, Dept Anesthesia, Memphis, TN 38105 USA

[2] Childrens Hosp Michigan, Dept Anesthesia, Detroit, MI USA

[3] Childrens Hosp Michigan, Dept Anesthesiol, Detroit, MI USA

来源：

JOVE-JOURNAL OF VISUALIZED EXPERIMENTS | 2011年 / 47期

关键词：

Medicine; Issue; 47; Fiberoptic; Intubation; Pediatric; elective; AIRWAY MANAGEMENT; LARYNGOSCOPE;

D O I：

10.3791/2364

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Fiberoptic intubation in pediatric patients is often required especially in difficult airways of syndromic patients i.e. Pierre Robin Syndrome. Small babies will desaturate very quickly if ventilation is interrupted mainly to high metabolic rate. We describe guidelines to perform a safe fiberoptic intubation while maintaining spontaneous breathing throughout the procedure. Steps requiring the use of propofol pump, fentanyl, glycopyrrolate, red rubber catheter, metal insuflation hook, afrin, lubricant and lidocaine spray are shown.

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