USE OF THE BULLARD LARYNGOSCOPE AND LIGHTWAND IN PEDIATRIC PATIENTS

作者: Howard B. Gutstein

DOI: 10.1016/S0889-8537(05)70061-4

关键词: IntubationDifficult intubationEndotracheal intubationDifficult airwayAirwayIntensive care medicineLaryngoscopyMedicineFundamental differenceAnesthesiology and Pain Medicine

摘要: Many different devices have been designed to simplify management of the "difficult airway." An important fundamental difference that needs be clarified is between airway" and intubation." The difficult airway refers problems in maintaining oxygenation or ventilation implies an urgent need establish by whatever means necessary. Difficult intubation specifically ease performing direct laryngoscopy endotracheal using "standard" instruments. invented deal with adults. Bullard laryngoscope lightwand are intubation. This article reviews specially pediatric versions these devices. Conventional requires alignment three axes airway: oral, pharyngeal, laryngeal. Normally, this easily accomplished "sniffing" position; however, children anatomic abnormalities, sniffing may not advisable aid laryngeal visualization. Both make repositioning neck for unnecessary. explores indications, contraindications, ways use Their appropriateness also considered.

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