Abstract | CONTEXT: OBJECTIVES: Forty-one anaesthetic charts following ten children over a 6-year period (2004-2010) were reviewed with emphasis on airway problems. RESULTS: All children had early stem cell transplantation at the age of 2 years or earlier. Mean (SD) age was 5 (4.3) years. Mask ventilation was difficult in five of 41 (12%) anaesthetics or in three of ten children. There were 29 intubations. Direct laryngoscopy was described as difficult (Cormack and Lehane ≥3) on 11 occasions in five of ten children. There were three of 26 (12%) failed intubations with direct laryngoscopy. These situations were resolved by a fibre-optic procedure, by laryngeal mask airway (LMA) insertion or by use of a videolaryngoscope. A laryngeal mask airway was used 11 times to avoid invasive airway management and once when direct laryngoscopy was impossible. CONCLUSION:
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Authors | Wilhlem A Osthaus, Thomas Harendza, Lars H Witt, Björn Jüttner, Thorben Dieck, Lorenz Grigull, Konstantinos Raymondos, Robert Sümpelmann |
Journal | European journal of anaesthesiology
(Eur J Anaesthesiol)
Vol. 29
Issue 4
Pg. 204-7
(Apr 2012)
ISSN: 1365-2346 [Electronic] England |
PMID | 22343608
(Publication Type: Journal Article)
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Topics |
- Age Factors
- Airway Management
(methods)
- Child
- Child, Preschool
- Female
- Fiber Optic Technology
- Humans
- Infant
- Intubation, Intratracheal
(methods)
- Laryngeal Masks
- Laryngoscopes
- Laryngoscopy
(methods)
- Male
- Mucopolysaccharidosis I
(surgery, therapy)
- Retrospective Studies
- Stem Cell Transplantation
(methods)
- Video-Assisted Surgery
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