Devices for difficult endotracheal intubation in children
- Brent R King, MD, MMM
Brent R King, MD, MMM
- Professor of Pediatrics and Emergency Medicine
- The Sidney Kimmel Medical College at Thomas Jefferson University
- Chief Medical Officer and Physician-in-Chief
- Nemours Alfred I DuPont Hospital for Children
- Section Editor
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
A wide range of devices have been developed to aid in the management of the difficult airway or to facilitate endotracheal intubation in adults. Many of these devices are available in sizes suitable for use in children and incorporate a variety of fiberoptic, video, optical, and mechanical technologies.
This topic will review the techniques for use of such devices for endotracheal intubation in children. The following pediatric topics on the difficult airway are presented elsewhere:
●Identification of the difficult airway (see "The difficult pediatric airway")
●Specific techniques for use of rescue devices (eg, laryngeal mask airway) when endotracheal intubation has failed (see "Emergency rescue devices for difficult pediatric airway management")
●Needle cricothyroidotomy (see "Needle cricothyroidotomy with percutaneous transtracheal ventilation")
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- http://www.youtube.com/watch?v=SK3tLEKQGMg&playnext=1&list=PLA09BCBD329F5B88A&index=31 (Accessed on January 10, 2011).
- CHOICE OF DEVICE
- Specialized stylets
- - Intubating introducers (gum elastic bougie)
- - Lighted stylet
- - Fiberoptic stylets
- - Flexible fiberoptic bronchoscope
- Indirect rigid laryngoscopy
- - Bullard rigid fiberoptic laryngoscope
- Video laryngoscope
- - Technique (acute angle video laryngoscope)
- SUMMARY AND RECOMMENDATIONS